Individual
ALYSSA MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
MSC10 5530 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-6379
(505) 272-0932
(505) 272-5821
Mailing address
9270 EAGLE RANCH RD NW APT 612, ALBUQUERQUE, NM 87114-6027
(949) 439-9044
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2021
Last updated
05/13/2021
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