Individual
SAMMY MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5310 SEQUOIA RD NW, ALBUQUERQUE, NM 87120-1249
(505) 352-3062
Mailing address
5310 SEQUOIA RD NW, ALBUQUERQUE, NM 87120-1249
(505) 352-3062
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
X-08804
NM
Other
Enumeration date
10/14/2014
Last updated
10/14/2014
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