Individual
ELMER MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
131 RAVEN RD, TIJERAS, NM 87059-8015
(504) 206-5438
Mailing address
131 RAVEN RD, TIJERAS, NM 87059-8015
(504) 206-5438
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/02/2025
Last updated
05/02/2025
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