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Mark Martinez, LADAC

NPI 1518291558 · on the registry since 2009

Practice

Address
101 'D' Avenue
Black Rock
Zuni, NM 87327
Phone
(505) 782-4710
Fax
(505) 782-5880

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
NM
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2009-09-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico