Individual
MARYJEAN MARTINEZ
Active
Individual
MARYJEAN MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MI.0004590
CO
376K00000X
Nurse's Aide
Primary
NA.00712772
CO
Other
Enumeration date
11/05/2014
Last updated
02/16/2017
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