Individual
JENNIFER MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2816 BLANFORD AVE SW, ALBUQUERQUE, NM 87121-4303
(505) 459-0474
Mailing address
2816 BLANFORD AVE SW, ALBUQUERQUE, NM 87121-4303
(505) 459-0474
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
NM
Other
Enumeration date
09/13/2016
Last updated
09/13/2016
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