Individual
JUSTIN MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
9961 SIERRA AVE, FONTANA, CA 92335-6720
(909) 302-4886
Mailing address
1884 FOREST DR, AZUSA, CA 91702-6242
(626) 485-8365
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95000981
CA
Other
Enumeration date
11/13/2018
Last updated
12/08/2021
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