Individual
BRENDI MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10465 MELODY DRIVE, NORTHLAND, CO 80234
(720) 641-2768
Mailing address
291025, THORNTON, CO 80229
(720) 641-2768
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023570034
DRIVER LICENSE
CO
Enumeration date
04/06/2018
Last updated
04/06/2018
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