Provider Demographics
NPI:1942843651
Name:MARTINEZ, LEONELA KATHERINE (DC)
Entity Type:Individual
Prefix:MISS
First Name:LEONELA
Middle Name:KATHERINE
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12383 W WHYMAN AVE
Mailing Address - Street 2:
Mailing Address - City:AVONDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85323-1241
Mailing Address - Country:US
Mailing Address - Phone:323-474-5391
Mailing Address - Fax:
Practice Address - Street 1:9897 W MCDOWELL RD STE 750
Practice Address - Street 2:
Practice Address - City:TOLLESON
Practice Address - State:AZ
Practice Address - Zip Code:85353-1635
Practice Address - Country:US
Practice Address - Phone:623-257-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-25
Last Update Date:2022-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34465111N00000X
AZ9081111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor