Individual
AMANDA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
184 UNSER BOULVARD NE, RIO RANCHO, NM 87124
(505) 967-7485
Mailing address
184 UNSER BLVD NE, RIO RANCHO, NM 87124-4045
(505) 967-7485
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NM
Other
Enumeration date
08/07/2015
Last updated
08/07/2015
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