Individual
CRISTAL MARTINEZ-TENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
26 SCOTT RD, EDGEWOOD, NM 87015-8036
(505) 227-9056
Mailing address
26 SCOTT RD, EDGEWOOD, NM 87015-8036
(505) 227-9056
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
10/04/2016
Last updated
10/04/2016
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