Individual
MRS. BONNIE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
39755 MURRIETA HOT SPRINGS RD STE E120, MURRIETA, CA 92563-9115
(951) 461-1331
Mailing address
PO BOX 1180, TEMECULA, CA 92593-1180
(951) 461-1331
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
14918
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14918
LICENSE
CA
Enumeration date
04/07/2008
Last updated
04/07/2008
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