Individual
CHRISTOLIA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 N PENNSYLVANIA AVE, MANGUM, OK 73554-3034
(580) 782-3371
Mailing address
PO BOX 514, MANGUM, OK 73554-0514
(580) 318-4608
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
09/15/2017
Last updated
09/15/2017
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