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Individual

MRS. CHRISTINE E. MARTINEZ-VIGIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHC,RPH

Contact information

Practice address
2010 INDUSTRIAL PARK RD, ESPANOLA, NM 87532-3600
(505) 753-7218
(505) 753-5815
Mailing address
538 N PASEO DE ONATE, P.O. BOX 158, ESPANOLA, NM 87532-2618
(505) 753-7218
(505) 753-5815

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
PC00000038
NM
183500000X
Pharmacist
Primary
RP00005496
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
73244
NM
Enumeration date
08/31/2005
Last updated
07/09/2013
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