Individual
JONATHAN MICHAEL MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.A.
Contact information
Practice address
1600 ANN BRANDEN BLVD APT 518, NORMAN, OK 73071-1538
(405) 535-5406
Mailing address
1600 ANN BRANDEN BLVD APT 518, NORMAN, OK 73071-1538
(405) 535-5406
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/11/2011
Last updated
12/11/2011
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