Individual
LILLIAN SUSAN MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA,HHA,AAS,CPR
Contact information
Practice address
1616 ANGELO ST, CASTROVILLE, TX 78009-4314
(830) 538-9464
Mailing address
PO BOX 128, CASTROVILLE, TX 78009-0128
(830) 538-9464
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NA10078860
TX
Other
Enumeration date
11/13/2009
Last updated
11/13/2009
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