Diandra Marlene Martinez
Technician/Technologist in Parker, AZ. Individual provider (NPI-1).
NPI number1003136102
StatusActive
Last updated in NPPESJun 11, 2010
Details
- NPI
- 1003136102
- Entity type
- Individual (NPI-1)
- Name
- Ms. Diandra Marlene Martinez
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 11, 2010
- Last updated
- Jun 11, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156F00000X | Technician/Technologist | – | – | Yes |
Practice location
12033 Agency RoadParker, AZ 85344
Phone 928-669-2137
Mailing address
12033 Agency RdParker, AZ 85344-7718
Phone 928-669-2137
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