Individual
ABIGAIL MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH
Contact information
Practice address
7470 CHERRY AVE STE 111, FONTANA, CA 92336-4272
(909) 281-3600
(909) 281-3610
Mailing address
7470 CHERRY AVE STE 111, FONTANA, CA 92336-4272
(909) 281-3600
(909) 281-3610
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
65036
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417349978
—
CA
Enumeration date
12/07/2015
Last updated
12/07/2015
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