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Individual

MRS. GWENDOLYN SUE MARTINEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
3100 SPRING FOREST RD, SUITE 130, RALEIGH, NC 27616-2880
(919) 882-0705
(919) 873-9821
Mailing address
3100 SPRING FOREST RD, SUITE 130, RALEIGH, NC 27616-2880
(919) 882-0705
(919) 873-9821

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024166964
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1851327993
VA
Enumeration date
06/23/2006
Last updated
10/25/2023
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