Individual
BRYAN LEE MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5027 WRIGHTSVILLE AVE, WILMINGTON, NC 28403-7046
(910) 442-8770
Mailing address
304 GARNERCREST RD, WILMINGTON, NC 28411-9622
(845) 304-2417
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/18/2024
Last updated
10/18/2024
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