Most Relevant Information
Provider Data
| NPI Number: | 1003425901 |
| Provider Name: | JASMINE BOMBARD MARTINEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | 26425 |
Most Important Dates
| Enumeration Date: | 07/27/2020 |
| Last Updated: | 09/17/2024 |
Provider Practice Location
231 COMMERCE ST
GREENVILLE
NC
278585029
Practice Location Phone/Fax
| Phone: | 2523218080 |
| Fax: | 2523217999 |
Provider Mailing Location
231 COMMERCE ST
GREENVILLE
NC
278585029
Provider Mailing Phone/Fax
| Phone: | 2523218080 |
| Fax: | 2523217999 |