Individual
DANA MARTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
71780 SAN JACINTO DR BLDG I, RANCHO MIRAGE, CA 92270-5516
(516) 395-7946
Mailing address
680 W 26TH ST, UPLAND, CA 91784-1127
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95026073
CA
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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