Individual
MONIQUE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 S AVE K STATION 3, SHROC, PORTALES, NM 88130
(575) 562-2160
Mailing address
PO BOX 703, LAS VEGAS, NM 87701
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/17/2018
Last updated
12/28/2021
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