IRVING DE JESUS MARTINEZ

BROKEN ARROW, OK
NPI1750889051
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2018-02-01
Last Update Date2018-02-01
Business Address
IRVING DE JESUS MARTINEZ
5608 S DATE AVE
BROKEN ARROW, OK 74011-4847
Phone number: 918-933-0080
Mailing Address
IRVING DE JESUS MARTINEZ
5608 S DATE AVE
BROKEN ARROW, OK 74011-4847
Phone number: 918-933-0080