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Individual

MARY MARTINEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, CLC

Contact information

Practice address
314 E STATE ST, ITHACA, NY 14850-4318
(339) 234-0164
Mailing address
314 E STATE ST, ITHACA, NY 14850-4318
(339) 234-0164

Taxonomy

Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
28208373A
IN

Other

Enumeration date
05/27/2026
Last updated
06/12/2026
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