Individual
EMILIANO MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
930 S 3RD AVE, OTHELLO, WA 99344-1733
(509) 760-2164
(509) 488-3474
Mailing address
930 S 3RD AVE, OTHELLO, WA 99344-1733
(509) 760-2164
(509) 488-3474
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
001
WA
Other
Enumeration date
04/27/2021
Last updated
04/27/2021
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