Individual
JANETH MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
INTERN
Contact information
Practice address
7401 COPPER AVE NE, ALBUQUERQUE, NM 87108-2068
(505) 232-9803
(505) 266-2431
Mailing address
7401 COPPER AVE NE, ALBUQUERQUE, NM 87108-2068
(505) 232-9803
(505) 266-2431
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000000
INTERN
NM
Enumeration date
01/21/2016
Last updated
01/21/2016
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