Individual
MRS. CAMILLE MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
75 MINECHOAG HTS, LUDLOW, MA 01056-1609
(413) 244-3385
Mailing address
75 MINECHOAG HTS, LUDLOW, MA 01056-1609
(413) 244-3385
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN70086
MA
Other
Enumeration date
07/05/2014
Last updated
07/05/2014
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