Individual
MS. CONNIE LYNN MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
88 W 50 S # C7, CENTERVILLE, UT 84014-2221
(801) 599-2304
Mailing address
PO BOX 1, 88 WEST 50 SOUTH #C7, CENTERVILLE, UT 84014-0001
(801) 599-2304
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5161749-4701
UT
Other
Enumeration date
06/12/2008
Last updated
06/12/2008
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