Individual
MARCIMILIANA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
820 OAK AVE, SAINT CHARLES, MO 63301-2941
(561) 261-0399
Mailing address
820 OAK AVE, SAINT CHARLES, MO 63301-2941
(561) 261-0399
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
9442408
FL
Other
Enumeration date
10/26/2022
Last updated
10/26/2022
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