Most Relevant Information
Provider Data
| NPI Number: | 1003341561 |
| Provider Name: | ALDWIS MARTINEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/21/2017 |
| Last Updated: | 04/21/2017 |
Provider Practice Location
207 PROSPECT ST
LAWRENCE
MA
018412831
Practice Location Phone/Fax
| Phone: | 9788094646 |
| Fax: |
Provider Mailing Location
207 PROSPECT ST
LAWRENCE
MA
018412831
Provider Mailing Phone/Fax
| Phone: | 9788094646 |
| Fax: |