Irving De Jesus Martinez I
NPI #1750889051 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1750889051
- Entity Type
- Individual
- Name
- Irving De Jesus Martinez I
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Feb 1, 2018
- Last Updated
- Feb 1, 2018
Practice Location
- Address
- 5608 S DATE AVE
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74011-4847
- Phone
- (918) 933-0080
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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