Individual
DIXIE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
780 E GILBERT ST, SAN BERNARDINO, CA 92415-1003
(909) 763-4760
Mailing address
8009 SORRENTO WAY, HIGHLAND, CA 92346-6389
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
727323
CA
Other
Enumeration date
02/07/2024
Last updated
02/07/2024
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