Individual
MICHELLE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPSW
Contact information
Practice address
3301 SOUTHERN BLVD SE STE 105, RIO RANCHO, NM 87124-5859
(505) 270-0840
(505) 581-3131
Mailing address
3301 SOUTHERN BLVD SE STE 105, RIO RANCHO, NM 87124-5859
(505) 270-0840
(505) 581-3131
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
1586
NM
Other
Enumeration date
08/30/2023
Last updated
08/30/2023
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