Bernadette Andrea Martinez LPN

NPI 1053528745 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1053528745
Gender Female
Enumeration Date 05/16/2007
Last Updated 07/09/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
310 LA JARA ST
BLOOMFIELD NM, 87413-6626, US
Phone (505) 634-3891
Fax (505) 634-3856
Business Location
1002 MANGUM RD
BLOOMFIELD NM, 87413-9647, US
Phone (505) 634-3891
Fax (505) 634-3856
Toxanomy
Taxonomy Code 164W00000X
License State New Mexico
License Number L18680
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According to our database, Bernadette Andrea Martinez LPN NPI is 1053528745, taxonomy code is 164W00000X and license number is L18680, license state is located at New Mexico. Bernadette Andrea Martinez LPN physically located at 310 La Jara St, Bloomfield NM, 87413-6626. NPI Number Bernadette Andrea Martinez LPN has the Individual type.

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1053528745 NPI number is provided on an as is basis without warranty of any kind. 1053528745 is maintained by the National Plan & Provider Enumeration System. The contents of Bernadette Andrea Martinez LPN are for informational purposes only.