Individual
MRS. JEANETTE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
CARRETERA 109 KM 6 BARRIO ESPINO, ANASCO, PR 00610
(787) 519-6062
Mailing address
PO BOX 572, ANASCO, PR 00610-0572
(787) 519-6062
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5078
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5078
LICENCE
PR
Enumeration date
04/25/2012
Last updated
04/25/2012
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