Individual
MARIA MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5517 FAIRBANKS DR, EL PASO, TX 79924-4012
(915) 253-3984
Mailing address
5517 FAIRBANKS DR, EL PASO, TX 79924-4012
(915) 253-3984
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NA06984196
TX
Other
Enumeration date
10/05/2016
Last updated
10/05/2016
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