Individual
HILDA MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10341 W TISDALE RD UNIT 3, ODESSA, TX 79763-7856
(432) 448-7067
(432) 448-7067
Mailing address
PO BOX 70434, ODESSA, TX 79769-1434
(432) 448-7067
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
131064
TX
Other
Enumeration date
02/18/2018
Last updated
02/18/2018
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