Individual
MS. JESSICA FELICITA MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
327 N 10TH ST, PROSPECT PARK, NJ 07508-2119
(216) 507-3555
Mailing address
327 N 10TH ST, PROSPECT PARK, NJ 07508-2119
(216) 507-3555
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR22336700
NJ
163W00000X
Registered Nurse
Primary
804982-01
NY
163W00000X
Registered Nurse
RN460.710
OH
Other
Enumeration date
02/03/2022
Last updated
02/03/2022
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