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Individual

DUSTIN MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
484 W PALO ALTO AVE UPPR NONE, CLOVIS, CA 93612-0198
(559) 790-5160
Mailing address
484 W PALO ALTO AVE UPPR NONE, CLOVIS, CA 93612-0198
(559) 790-5160

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95121943
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
95002576
CA

Other

Enumeration date
06/10/2024
Last updated
07/30/2025
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