Individual
STACEY MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
606 PINEWOOD LN, SAN ANTONIO, TX 78216-6912
(915) 731-5881
Mailing address
606 PINEWOOD LN, SAN ANTONIO, TX 78216-6912
(915) 731-5881
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
864809
TX
Other
Enumeration date
05/22/2025
Last updated
05/22/2025
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