IVAN DE JESUS MARTINEZ

HIALEAH, FL
NPI1629322649
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy302R00000X Health Maintenance Organization
(Licence: FL  MA45836)
Enumeration Date2012-10-29
Last Update Date2012-10-29
Business Address
IVAN DE JESUS MARTINEZ L.M.T.
8917 NW 178TH ST
HIALEAH, FL 33018-6554
Phone number: 786-348-9601
Mailing Address
IVAN DE JESUS MARTINEZ L.M.T.
8917 NW 178TH ST
HIALEAH, FL 33018-6554
Phone number: 786-348-9601
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