Individual
ANGEL ROGER MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EMT
Contact information
Practice address
979 N ELMWOOD AVE, RIALTO, CA 92376-3980
(909) 531-3246
Mailing address
979 N ELMWOOD AVE, RIALTO, CA 92376-3980
(909) 531-3246
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
E160074
CA
Other
Enumeration date
05/13/2025
Last updated
05/13/2025
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