Individual
DONNA C MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RRT
Contact information
Practice address
4509 SAND CREEK RD, ANTIOCH, CA 94531
(925) 813-6500
Mailing address
1300 ESTANCIA AVE, GRANTS, NM 87020-2322
Taxonomy
Speciality
Code
Description
License number
State
2279C0205X
Critical Care Registered Respiratory Therapist
Primary
27707
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27707
CALIFORNIA STATE BOARD
CA
Enumeration date
01/29/2019
Last updated
01/29/2019
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