Individual
ALLYSSA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
8950 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 444-8950
Mailing address
5392 CORNELL BLVD, NORTH RIDGEVILLE, OH 44039-1904
(216) 527-7266
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
09313246
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09313246
OHIO STATE LICENSE
OH
Enumeration date
05/11/2020
Last updated
05/11/2020
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