Individual
MOLYNE MARTINEZ HACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
622 DOC HOLIDAY DR, BANDERA, TX 78003
(512) 999-4364
Mailing address
622 DOC HOLIDAY DR, BANDERA, TX 78003
(512) 999-4364
Taxonomy
Speciality
Code
Description
License number
State
364SL0600X
Long-Term Care Clinical Nurse Specialist
Primary
1066061
TX
Other
Enumeration date
12/30/2024
Last updated
12/30/2024
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