Most Relevant Information
Provider Data
| NPI Number: | 1003420860 |
| Provider Name: | MELISSA MARTINEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/31/2020 |
| Last Updated: | 08/31/2020 |
Provider Practice Location
855 E 4800 S STE 100
MURRAY
UT
841075513
Practice Location Phone/Fax
| Phone: | 8014733963 |
| Fax: | 8017971220 |
Provider Mailing Location
2414 ACADIANA LN
SEABROOK
TX
775868309
Provider Mailing Phone/Fax
| Phone: | 8014733963 |
| Fax: | 8017971220 |