Individual
DULLINE V MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 S HAVANA ST, AURORA, CO 80014-1618
(303) 338-3274
Mailing address
25897 E CANAL PL, AURORA, CO 80018
(303) 364-7168
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011553
KAISER-COMMERCIAL NUMBER
—
Enumeration date
02/28/2007
Last updated
07/08/2007
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