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Mary Martinez
NPI 1891214557 · on the registry since 2017
Practice
- Address
- 1801 Hollywood Dr
Pueblo, CO 81005 - Phone
- (719) 242-6612
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Also registered as
- 390200000X
- Licence states on file
- CO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-04-08
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 Colorado