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Stacy L Martin
Student in an Organized Health Care Education/Training Program in Portales, New Mexico
NPI 1710403514

Stacy L Martin is a Student in an Organized Health Care Education/Training Program based in Portales, NM. Stacy L Martin practices in Portales, NM. The NPI Number for Stacy L Martin is 1710403514 and holds a License No. (New Mexico).

The current practice location address for Stacy L Martin is 1500 S Avenue K # 3, Portales, NM and can be reached out via phone at 575-562-2160.

Location: 1500 S Avenue K # 3, Portales, NM, 88130-7400
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710403514
Provider Name
Stacy L Martin
Credential
Provider Entity Type
Individual
Gender
Female
Address
1500 S Avenue K # 3, Portales, NM, 88130-7400
Phone Number
575-562-2160
Fax Number
Provider Enumeration Date
08/14/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1500 S Avenue K # 3
City
Portales
State
New Mexico
Zip
88130-7400
Phone Number
575-562-2160
Fax Number
person
Provider Business Mailing Address Details
Address
1500 S Avenue K # 3
City
Portales
State
New Mexico
Zip
88130-7400
Phone Number
575-562-2160
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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