Individual
MICHELLE L MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24011 WILTED OAK, SAN ANTONIO, TX 78264-3876
(210) 441-0491
Mailing address
24011 WILTED OAK, SAN ANTONIO, TX 78264-3876
(210) 441-0491
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
09/11/2025
Last updated
09/11/2025
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