SAMUEL MARTINEZ

FORT WAYNE, IN
NPI1871002659
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: IN  86049228)
Enumeration Date2017-09-25
Last Update Date2022-07-21
Business Address
SAMUEL MARTINEZ RD
11109 PARKVIEW PLAZA DR.
FORT WAYNE, IN 46846
Phone number: 260-266-2593
Mailing Address
SAMUEL MARTINEZ RD
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845-1701
Phone number: 260-266-2593
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