JEREMY MARTINEZ

ESPANOLA, NM
NPI1477943009
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NM  LPN-22091)
Enumeration Date2015-02-04
Last Update Date2015-02-04
Business Address
-- JEREMY MARTINEZ
208 GUACHUPANGUE RD
ESPANOLA, NM 87532
Phone number: 505-852-3865
Mailing Address
-- JEREMY MARTINEZ
PO BOX 3935
ESPANOLA, NM 87533
Phone number: 505-852-3865
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