Individual
JOSIE MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11967 W. VILLA CHULA LN., SUN CITY, AZ 85373
(602) 451-1601
Mailing address
11967 W. VILLA CHULA LN., SUN CITY, AZ 85373
(602) 451-1601
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
8830
AZ
Other
Enumeration date
12/28/2006
Last updated
07/08/2007
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