Individual
DONIESHA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
345 W FOOTHILL BLVD, GLENDORA, CA 91741-3328
(626) 244-7756
Mailing address
959 E WINGATE ST, COVINA, CA 91724-2404
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
291843
CA
Other
Enumeration date
04/24/2026
Last updated
04/24/2026
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