Individual
MRS. DOMINIQUE NICOLE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
18 GALLEGOS RD, LAS VEGAS, NM 87701-4512
(505) 476-8769
Mailing address
18 GALLEGOS RD, LAS VEGAS, NM 87701-4512
(505) 476-8769
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
86109
NM
Other
Enumeration date
10/02/2025
Last updated
10/02/2025
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