Individual
MARISSA RAQUEL MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
400 EUBANK BLVD NE, ALBUQUERQUE, NM 87123-2758
(505) 292-8035
Mailing address
400 EUBANK BLVD NE, ALBUQUERQUE, NM 87123-2758
(505) 292-8035
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00010250
NM
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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