Individual
GUILLERMO EZEQUIEL MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9709 KENNETH OREN DR, CHARLOTTE, NC 28213-4706
(980) 939-3074
Mailing address
9709 KENNETH OREN DR, CHARLOTTE, NC 28213-4706
(980) 939-3074
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F05260546
NC
Other
Enumeration date
05/27/2026
Last updated
05/27/2026
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