Individual
ANGIE MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
2156 GABRIEL DR, COVINGTON, LA 70435-5878
(682) 365-4141
Mailing address
2156 GABRIEL DR, COVINGTON, LA 70435-5878
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
157992
TX
Other
Enumeration date
08/06/2025
Last updated
08/06/2025
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