Provider Information for 1316711658
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Mrs. DONNA JAUREGUI MARTINEZ LPC
Other Names:Former Name:DONNA MELISSA JAUREGUI LPCSex: Female
NPI: 1316711658
Last Updated: 2023-11-07
Certification Date: 2023-11-07
Certification Date: 2023-11-07
Details
| Name | Value | ||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1316711658 | ||||||||||||||||
| Enumeration Date | 2023-11-07 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | NO | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | 3002 COCHISE CT COLLEGE STATION, TX 77845-6529 United States Phone: 210-535-6096 | Fax: | ||||||||||||||||
| Primary Practice Address | 3002 COCHISE CT COLLEGE STATION, TX 77845-6529 United States Phone: 210-535-6096 | Fax: | ||||||||||||||||
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