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Individual
MARCO MARTINEZ
Active
Individual
MARCO MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
95005530
CA
363LP2300X
Primary Care Nurse Practitioner
Primary
95005530
CA
Other
Enumeration date
12/07/2016
Last updated
06/16/2020
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