Individual
JENNIFER JOAN MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
NM 571 BLDG 28, EL RITO, NM 87530
(505) 685-4479
Mailing address
PO BOX 237, EL RITO, NM 87530-0237
(505) 685-4479
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP-02978
NM
Other
Enumeration date
07/28/2016
Last updated
07/28/2016
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