Individual
MISS IRENE F MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
960 BURR ST, CORONA, CA 92882-1851
(951) 751-5732
Mailing address
960 BURR ST, CORONA, CA 92882-4017
(951) 751-5732
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN207364
CA
Other
Enumeration date
03/16/2007
Last updated
01/27/2009
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