Individual
DR. MOLLENA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP, PH.D.
Contact information
Practice address
3509 COFFEE RD, MODESTO, CA 95355-1356
(209) 241-2110
Mailing address
3509 COFFEE RD STE D3, MODESTO, CA 95355-1357
(209) 241-2110
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
14740
CA
Other
Enumeration date
08/14/2018
Last updated
08/14/2018
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