Individual
CHRISTINA ANN MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2277 SWANSON AVE STE 100, LAKE HAVASU CITY, AZ 86403-5991
(928) 855-5026
Mailing address
2277 SWANSON AVE STE 100, LAKE HAVASU CITY, AZ 86403-5991
(928) 855-5026
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT002376
AZ
Other
Enumeration date
08/22/2019
Last updated
08/22/2019
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