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NPI Code Detail

MEDICARE: AYEISHA CHRISTINE MARTINEZ

MEDICARE: AYEISHA CHRISTINE MARTINEZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1699589051
Entity Type Code : Individual
Provider Name (Legal Business Name) : AYEISHA CHRISTINE MARTINEZ
Provider Business Mailing Address
First Line : 2435 S TELSHOR BLVD
Second Line :
City : LAS CRUCES
State : NM
Zip : 88011-5029
Country : US
Telephone Number : 575-323-1315
Fax Number :
Provider Business Practice Location Address
First Line : 2435 S TELSHOR BLVD
Second Line :
City : LAS CRUCES
State : NM
Zip : 88011-5029
Country : US
Telephone Number : 575-323-1315
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2025
Last Update Date : 02/05/2025

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Directions to “ AYEISHA CHRISTINE MARTINEZ ” Practice Location

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