Individual
MRS. GRISEL MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HT
Contact information
Practice address
8361 NW 24TH PL, SUNRISE, FL 33322-3327
(954) 854-9041
Mailing address
8361 NW 24TH PL, SUNRISE, FL 33322-3327
(954) 854-9041
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
061809-9041
FL
Other
Enumeration date
08/10/2009
Last updated
08/10/2009
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