Individual
CHERYL MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1301 M ST, FRESNO, CA 93721-1807
(559) 457-3301
(559) 457-6095
Mailing address
1301 M ST, FRESNO, CA 93721-1807
(559) 457-3301
(559) 457-6095
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
493111
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SS1062166
—
CA
Enumeration date
11/25/2014
Last updated
11/25/2014
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