Individual
MR. REYNALDO MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3201 BRISTOL HWY, SUITE 4, JOHNSON CITY, TN 37601-1565
(423) 262-8327
(423) 262-8329
Mailing address
PO BOX 8816, GRAY, TN 37615-0816
(423) 262-8327
(423) 262-8329
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
10/15/2007
Last updated
05/19/2008
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