Martinez, Thedra Luann

Martinez, Thedra Luann is an individual health care provider with primary practice located at 314 Don Fernando St , Taos NM 87571. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Martinez, Thedra Luann can be contacted via phone (505) 747-1991.

Contact Information

Primary practice address
314 Don Fernando St Taos NM 87571
Phone: (505) 747-1991
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0071201 New Mexico

Profile Details

NPI number 1568551679
LBN Legal business name Martinez, Thedra Luann
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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