Individual
MARISELA MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
240 N EAST PROMONTORY STE 200, FARMINGTON, UT 84025-2950
(562) 760-9801
Mailing address
1190 E 5425 S STE 205, SOUTH OGDEN, UT 84403-5193
(562) 760-9801
Taxonomy
Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
—
—
Other
Enumeration date
07/19/2022
Last updated
08/01/2022
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