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Individual

ELISE JOELLE MARTINEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1060 E FOOTHILL BLVD STE 103, UPLAND, CA 91786-4070
(909) 981-8904
(909) 981-8943
Mailing address
1754 AVENIDA ENTRADA, SAN DIMAS, CA 91773-4301
(909) 996-8774

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95072251
CA
363LG0600X
Gerontology Nurse Practitioner
Primary
95011216
CA

Other

Enumeration date
12/18/2018
Last updated
06/10/2019
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