Individual
MARTHA F TERRAZAS
Active
Individual
MARTHA F TERRAZAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036.146054
IL
2085R0202X
Diagnostic Radiology Physician
Primary
MD2019-0202
NM
390200000X
Student in an Organized Health Care Education/Training Program
RS12345
NM
Other
Enumeration date
04/11/2013
Last updated
05/21/2019
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