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Individual

MINERVA ESMERALDA MARTINEZ-LOPEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
383 E 520 N, AMERICAN FORK, UT 84003-1827
(801) 995-9036
Mailing address
383 E 520 N, AMERICAN FORK, UT 84003-1827

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10217012-4405
UT
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/10/2021
Last updated
10/11/2023
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