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Individual

MS. CARMEN YOLANDA MARTINEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
9705 LIBERIA AVE STE 201, MANASSAS, VA 20110-1744
(703) 680-7950
(703) 680-7953
Mailing address
753 MONUMENT AVE, WOODBRIDGE, VA 22191-5405
(703) 244-7386

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110001922
VA

Other

Enumeration date
03/12/2007
Last updated
04/05/2018
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