Individual
DENELLE N MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IHSS & WPCS PROVIDER
Contact information
Practice address
25809 MISSION RD, LOMA LINDA, CA 92354-2520
(510) 974-6003
Mailing address
25809 MISSION RD, LOMA LINDA, CA 92354-2520
(510) 974-6003
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
003092562
CA
253Z00000X
In Home Supportive Care Agency
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Other
Enumeration date
09/08/2023
Last updated
09/08/2023
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