Individual
JASON A MARTIZEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RECOVERY ASSISTANT
Contact information
Practice address
242 SHAKE RAG RD, CLINTON, AR 72031-6629
(501) 303-3105
Mailing address
242 SHAKE RAG RD, CLINTON, AR 72031-6629
(501) 303-3105
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
AR
Other
Enumeration date
08/22/2017
Last updated
07/21/2022
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