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Mary Gloria Martinez

In Home Supportive Care in El Paso, TX. Individual provider (NPI-1).

NPI number1083179568
StatusActive
Last updated in NPPESFeb 8, 2019

Details

NPI
1083179568
Entity type
Individual (NPI-1)
Name
Ms. Mary Gloria Martinez
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 8, 2019
Last updated
Feb 8, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care012684TXYes
251E00000X Home Health012684TX
3747P1801X Technician, Personal Care Attendant012684TX

Practice location

8933 Ankerson St
El Paso, TX 79904-1320

Phone 915-629-2079 · Fax 915-755-7191

Mailing address

Po Box 640726
El Paso, TX 79904-0726

Phone 915-474-3537 · Fax 915-755-7191

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