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Individual

MS. ELIZABETH ANN MARTINEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
731 ALTONA ST NW, PALM BAY, FL 32907-8241
(321) 473-8692
(321) 473-8692
Mailing address
731 ALTONA ST NW, PALM BAY, FL 32907-8241
(321) 473-8692
(321) 473-8692

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10932
FL

Other

Enumeration date
07/28/2010
Last updated
07/28/2010
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