Individual
SAMANTHA MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, LD
Contact information
Practice address
3401 W GORE BLVD, LAWTON, OK 73505-6332
(580) 355-8699
(580) 585-5461
Mailing address
3401 W GORE BLVD, LAWTON, OK 73505-6332
(580) 355-8699
(580) 585-5461
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86024851
OK
Other
Enumeration date
02/29/2016
Last updated
02/29/2016
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