Martinez, M Leticia

Martinez, M Leticia is an individual health care provider with primary practice located at 839 W Congress St , Tucson AZ 85745-2819. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Martinez, M Leticia can be contacted via phone (520) 670-3904.

Contact Information

Primary practice address
839 W Congress St Tucson AZ 85745-2819
Fax: (520) 670-3816
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 13527 Arizona

Profile Details

NPI number 1770566614
LBN Legal business name Martinez, M Leticia
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2005
Last updated Oct 26th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770566614 NPPES
Arizona MEDICAID 637712

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