Individual
JENNIFER MICHELLE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ASL
Contact information
Practice address
1600 SUTTER PL, CLOVIS, NM 88101-4611
(505) 769-4490
(505) 935-0011
Mailing address
2124 W MANANA BLVD, CLOVIS, NM 88101-3223
(505) 763-5744
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
3651
NM
Other
Enumeration date
11/07/2006
Last updated
07/08/2007
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