Individual
MRS. JUANITA DIANE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 W MAIN ST STE A2, ARTESIA, NM 88210-3711
(575) 746-8890
Mailing address
1700 W MAIN ST STE A2, ARTESIA, NM 88210-3711
(575) 746-8890
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/26/2012
Last updated
11/26/2012
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