Individual
LAURA JEANENE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
232 RUSTLING WILLOW ST, TOWAOC, CO 81334-5062
(970) 565-4441
Mailing address
232 RUSTLING WILLOW ST, TOWAOC, CO 81334-5062
(970) 565-4441
Taxonomy
Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
Primary
RN.1626525
CO
Other
Enumeration date
12/05/2019
Last updated
12/05/2019
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