Individual
KIMBERLY ANN MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
26520 CACTUS AVE, MORENO VALLEY, CA 92555
(951) 486-4000
Mailing address
248 E HIGHLAND AVE, REDLANDS, CA 92373-6822
(909) 647-7121
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95001318
CA
Other
Enumeration date
04/30/2020
Last updated
05/19/2020
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