Individual
MS. LOYOLA C MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
1206 N RIVERSIDE DR, ESPANOLA, NM 87532-2811
(505) 747-7400
Mailing address
1206 N RIVERSIDE DRIVE, ESPANOLA, NM 87532
(505) 747-7400
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NM
Other
Enumeration date
11/07/2012
Last updated
12/03/2012
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