Individual
MR. DAEMIAN ALEXANDER MARTIN SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
11234 ANDERSON ST, LOMA LINDA, CA 92354-2804
(909) 558-4000
Mailing address
35258 HOGAN DR, BEAUMONT, CA 92223-7407
(951) 662-9195
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
845192
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
845192
REGISTERED NURSE
CA
Enumeration date
10/25/2020
Last updated
10/25/2020
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