Individual
ELIZABETH IMELDA MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21120 MERIDIAN AVE E, GRAHAM, WA 98338-8254
(253) 285-4750
Mailing address
10102 115TH ST SW, LAKEWOOD, WA 98498-1616
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/04/2020
Last updated
09/04/2020
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