Individual
TIFFANY GARCIA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
502 EL PUEBLO RD NW, LOS RANCHOS, NM 87114-1105
(505) 385-0826
Mailing address
502 EL PUEBLO RD NW, LOS RANCHOS, NM 87114-1105
(505) 385-0826
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
611
NM
Other
Enumeration date
07/31/2009
Last updated
04/06/2011
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