Individual
MEGAN RAE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
620 MILLS AVE, LAS VEGAS, NM 87701-4671
(505) 425-3317
Mailing address
412 S PACIFIC ST, LAS VEGAS, NM 87701-3254
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00008933
NM
Other
Enumeration date
07/27/2018
Last updated
07/27/2018
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