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Thedra Martinez
NPI 1568551679 · on the registry since 2006
Practice
- Address
- 314 Don Fernando St
Taos, NM 87571 - Phone
- (505) 747-1991
- Organisation at this address
- Casa De Corazon
Taos Group Home, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 28
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
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