Individual
ETHEL DE JESUS MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8902 WOODMAN AVE, ARLETA, CA 91331-6401
(818) 830-7133
Mailing address
8902 WOODMAN AVE, ARLETA, CA 91331-6401
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95008170
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/14/2017
Last updated
03/17/2018
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