Individual
STEPHANIE MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD, IBCLC
Contact information
Practice address
1620 MCCLELLAND AVE, LAREDO, TX 78040-4630
(956) 337-0237
Mailing address
3901 AIDIN ST, LAREDO, TX 78045-3404
(956) 337-0237
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT86318
TX
174N00000X
Lactation Consultant (Non-RN)
L-308307
—
Other
Enumeration date
04/14/2020
Last updated
10/29/2023
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