Individual
TANYA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
16460 VICTOR ST, VICTORVILLE, CA 92395-3918
(760) 245-8837
(760) 245-8893
Mailing address
16460 VICTOR ST, VICTORVILLE, CA 92395-3918
(760) 245-8837
(760) 245-8893
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
95372690
CA
Other
Enumeration date
07/14/2008
Last updated
06/19/2025
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