Individual
MRS. CECILIA NICOLE MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
11987 PERRIS BLVD, MORENO VALLEY, CA 92557-6543
(562) 507-9876
Mailing address
11987 PERRIS BLVD, MORENO VALLEY, CA 92557-6543
(562) 507-9876
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN708181
CA
Other
Enumeration date
05/03/2022
Last updated
05/03/2022
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