Individual
REY MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5213 JAGUAR DRIVE, SANTA FE, NM 87507
(505) 820-0262
Mailing address
1622 7TH ST, LAS VEGAS, NM 87701-4920
(505) 454-8265
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
M - 05343
NM
Other
Enumeration date
03/11/2008
Last updated
03/11/2008
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