| NPI | 1508457409 |
|---|---|
| Former Legal Business Name | KORI MARTINEZ FNP, LLC. |
| Entity Type | Organization |
| Authorized Contact | KORI DAWN MARTINEZ Owner 505-330-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2021-02-02 |
| Last Update Date | 2021-02-02 |