Individual
GENESIS MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13574 VILLAGE PARK DR, ORLANDO, FL 32837-7689
(407) 990-2847
Mailing address
2221 DOER LN, APOPKA, FL 32703-8948
(508) 981-9170
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SI4725
FL
Other
Enumeration date
08/19/2021
Last updated
08/19/2021
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