Individual
ASHLEY MARIE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
13460 N 94TH DRIVE, SUITE J-1, PEORIA, AZ 85381-4246
(623) 876-8816
Mailing address
13460 N 94TH DRIVE, SUITE J1, PEORIA, AZ 85381-4246
(623) 876-8816
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8748
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
555995
—
AZ
Enumeration date
08/10/2010
Last updated
10/07/2021
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