Individual
BONNIE JANE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
7373 WEST LN, STOCKTON, CA 95210-3377
(209) 476-3928
(209) 476-3675
Mailing address
7373 WEST LN, STOCKTON, CA 95210-3377
(209) 476-3928
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN230731
CA
Other
Enumeration date
06/30/2005
Last updated
07/09/2007
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