Individual
TERESA MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
1804 SUMMIT AVE, WAUKESHA, WI 53188-3108
(262) 347-9262
Mailing address
1804 SUMMIT AVE, WAUKESHA, WI 53188-3108
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
170411-30
WI
Other
Enumeration date
08/25/2010
Last updated
08/25/2010
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