Individual
LAUREL MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1118 W AZTEC BLVD, AZTEC, NM 87410-1818
(505) 793-1245
Mailing address
1118 W AZTEC BLVD, AZTEC, NM 87410-1818
(505) 793-1245
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
56288
NM
Other
Enumeration date
09/28/2020
Last updated
09/28/2020
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