Individual
MONIQUE MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN,RN
Contact information
Practice address
4040 SAN ISIDRO ST NW, ALBUQUERQUE, NM 87107-2828
(505) 345-3661
Mailing address
PO BOX 25704, ALBUQUERQUE, NM 87125-0704
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN-83087
NM
Other
Enumeration date
02/15/2022
Last updated
02/15/2022
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