Individual
LETICIA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6102 W ADAMS AVE, TEMPLE, TX 76502-0007
(254) 252-5757
Mailing address
6102 W ADAMS AVE, TEMPLE, TX 76502-0007
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
349332
TX
Other
Enumeration date
11/18/2019
Last updated
11/18/2019
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