Individual
ASHLYNN MARIE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
10433 S REDWOOD RD, SOUTH JORDAN, UT 84095-8502
(801) 501-0500
Mailing address
10433 S REDWOOD RD, SOUTH JORDAN, UT 84095-8502
(801) 501-0500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
11898533-1206
UT
363A00000X
Physician Assistant
Primary
11898533-1206
UT
Other
Enumeration date
02/01/2021
Last updated
02/28/2023
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