Individual
AMANDA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5738 PATRIDGE DR, PEARLAND, TX 77584-8326
(832) 766-2455
Mailing address
5738 PATRIDGE DR, PEARLAND, TX 77584-8326
(832) 766-2455
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
348060
TX
Other
Enumeration date
05/14/2019
Last updated
05/14/2019
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