Individual
TERESA JEAN MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3620 W LUDLOW DR, PHOENIX, AZ 85032-8503
(602) 908-7989
Mailing address
3620 E LUDLOW DR, PHOENIX, AZ 85032-5727
(602) 908-7989
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN170902
AZ
Other
Enumeration date
01/04/2021
Last updated
01/04/2021
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