Individual
STEPHANIE DIANE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
100 VINE ST, LEMOORE, CA 93245-3418
(559) 924-6803
Mailing address
100 VINE ST, LEMOORE, CA 93245-3418
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
545489
CA
Other
Enumeration date
06/15/2021
Last updated
06/15/2021
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