Individual
JAMIE FAY MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2417 JESSIE LEE LN, LAS VEGAS, NM 87701-5026
(505) 426-5451
Mailing address
PO BOX 45681, RIO RANCHO, NM 87174-5681
(505) 426-5451
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M-10198
NM
Other
Enumeration date
06/09/2021
Last updated
06/09/2021
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