Individual
ELISA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
250 E DUNLAP AVE, PHOENIX, AZ 85020-2825
(623) 698-8189
Mailing address
4137 W PARK AVE, CHANDLER, AZ 85226-7237
(623) 698-8189
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
RN213141
AZ
Other
Enumeration date
03/19/2020
Last updated
03/19/2020
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