Jesse S Martinez LISW

NPI 1306059522 - Social Worker - 104100000X

NPI Details
NPI 1306059522
Gender Male
Enumeration Date 05/07/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
577 EL LLANO RD
ESPANOLA NM, 87532-2911, US
Phone (505) 753-1656
Fax
Business Location
577 EL LLANO RD
ESPANOLA NM, 87532-2911, US
Phone (505) 753-1656
Fax
Toxanomy
Taxonomy Code 104100000X
License State New Mexico
License Number I-3701
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According to our database, Mr. Jesse S Martinez LISW NPI is 1306059522, taxonomy code is 104100000X and license number is I-3701, license state is located at New Mexico. Jesse S Martinez LISW physically located at 577 El Llano Rd, Espanola NM, 87532-2911. NPI Number Jesse S Martinez LISW has the Individual type.

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1306059522 NPI number is provided on an as is basis without warranty of any kind. 1306059522 is maintained by the National Plan & Provider Enumeration System. The contents of Jesse S Martinez LISW are for informational purposes only.