Individual
MARK MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
611 S VALLEY RD, CORTEZ, CO 81321-3900
(970) 749-5023
Mailing address
611 S VALLEY RD, CORTEZ, CO 81321-3900
(970) 749-5023
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
—
Other
Enumeration date
12/02/2017
Last updated
12/02/2017
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