Individual
ANNMARIE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15229 AMAR RD, LA PUENTE, CA 91744-2066
(626) 855-5090
Mailing address
15229 AMAR RD, LA PUENTE, CA 91744-2066
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
293218
CA
Other
Enumeration date
06/28/2017
Last updated
06/28/2017
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