Individual
JOSEPH MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC STUDENT
Contact information
Practice address
MARINE CORPS BASE HAWAII (MCBH), BLDG 221, KAILUA, HI 96734-9678
(760) 277-4971
Mailing address
7261 BIRCH CIR, PEARL CITY, HI 96782-4501
(760) 277-4971
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
02/16/2021
Last updated
09/09/2021
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