Individual
TAMRA HERSHEL MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13839 HORSETAIL TER, COLORADO SPRINGS, CO 80921-7606
(719) 772-6060
Mailing address
13839 HORSETAIL TER, COLORADO SPRINGS, CO 80921-7606
(719) 772-6060
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
03/18/2015
Last updated
03/18/2015
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