Individual
DANIEL JESSIE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9019 WASHINGTON ST NE, ALBUQUERQUE, NM 87113-2435
(505) 856-6880
Mailing address
9019 WASHINGTON ST NE, ALBUQUERQUE, NM 87113-2435
(505) 856-6880
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
03/20/2020
Last updated
03/20/2020
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