Individual
MRS. GENEEN L MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
2112 RANCHO ORO AVE SE, RIO RANCHO, NM 87124-8731
(505) 899-5141
Mailing address
2112 RANCHO ORO AVE SE, RIO RANCHO, NM 87124-8731
(505) 899-5141
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2064
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14181312
—
NM
Enumeration date
03/13/2007
Last updated
07/09/2007
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