Individual
MS. PAMELA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,CCC-SLP
Contact information
Practice address
179 BRIDGE ST, LAS VEGAS, NM 87701-3495
(505) 426-2554
(505) 426-2782
Mailing address
863 SPERRY DR, LAS VEGAS, NM 87701-5028
(505) 426-2669
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1730
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
72972
—
NM
Enumeration date
04/17/2007
Last updated
07/08/2007
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