Individual
FIDEL MARTINEZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
405 W 5TH ST, SANTA ANA, CA 92701-4599
(714) 834-7324
Mailing address
405 W 5TH ST, SANTA ANA, CA 92701-4599
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
950228120
CA
Other
Enumeration date
08/30/2015
Last updated
08/30/2015
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