Individual
CHRISTINA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7 RIO SAN JOSE, LAGUNA, NM 87026
(505) 552-6513
Mailing address
7 RIO SAN JOSE, LAGUNA, NM 87026
(505) 552-6513
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
507915965
STATE ID
NM
Enumeration date
10/25/2019
Last updated
10/25/2019
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