Individual
MS. MIRIAN ELIZABETH MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN/NP
Contact information
Practice address
1209 WOODROW AVE STE B, MODESTO, CA 95350-1288
(209) 558-5312
Mailing address
3004 HIGHGATE RD, MODESTO, CA 95350-1605
(209) 613-8547
(209) 571-2113
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
277087
CA
Other
Enumeration date
02/08/2012
Last updated
06/24/2025
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