Individual
MRS. MELANIE RENAE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1512 S KENTUCKY AVE, ROSWELL, NM 88203-5410
(575) 420-2114
Mailing address
1512 S KENTUCKY AVE, ROSWELL, NM 88203-5410
(575) 420-2114
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NM
Other
Enumeration date
03/16/2018
Last updated
03/16/2018
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