Individual
MRS. ALISSA MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5904 PAPAYA PL NE, ALBUQUERQUE, NM 87111-6274
(505) 573-7236
Mailing address
5904 PAPAYA PL NE, ALBUQUERQUE, NM 87111-6274
(505) 238-8442
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
C-5442
NM
Other
Enumeration date
02/27/2014
Last updated
09/03/2024
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