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Contact Information

MARTIN ANCONA LLC
224 ANTHONY DR
ANTHONY, NM88021-9366
 Phone: 214-662-1791
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Multi-Specialty

261QM1300X 70 Clinic or Group Practice
Indicates primary specialty

NPI Profile & details for MARTIN ANCONA LLC · (Female)

NPI Number 1437713062
Status Active
Credentials
Entity Individual
Enumeration date 04/29/2019
Last updated 10/09/2019 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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