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1164164661
MIRTZA MARTINEZ SMALL
SLIDELL, LA
NPI
1164164661
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Other Name
MIRTZA MARTINEZ
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA 224799)
Enumeration Date
2022-04-13
Last Update Date
2023-01-13
Business Address
MIRTZA MARTINEZ SMALL FNP-C
501 ROBERT BLVD
SLIDELL, LA 70458-1667
Phone number: 866-530-6111
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Mailing Address
MIRTZA MARTINEZ SMALL FNP-C
315 WESTBANK EXPY
GRETNA, LA 70053-5616
Phone number:
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