Individual
GUADALUPE MARTINEZ DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5312 RIO BRAVO DR STE 10, SANTA TERESA, NM 88008-9210
(575) 915-1338
Mailing address
PO BOX 2523, SUNLAND PARK, NM 88063-2523
(575) 915-1819
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
784013
NM
Other
Enumeration date
03/14/2024
Last updated
03/14/2024
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