Individual
DEBRA CORDILIA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
904 WILLOW AVE, LA PUENTE, CA 91746-1696
(626) 931-3053
Mailing address
904 WILLOW AVE, LA PUENTE, CA 91746-1696
(626) 931-3053
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
370525
CA
163WS0200X
School Registered Nurse
Primary
370525
CA
Other
Enumeration date
07/23/2025
Last updated
07/23/2025
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