Individual
GERALDINE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
89 E MILL AVE, PORTERVILLE, CA 93257-3808
(559) 853-6222
Mailing address
89 E MILL AVE, PORTERVILLE, CA 93257-3808
(559) 853-6222
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
179614
CA
Other
Enumeration date
12/13/2021
Last updated
12/13/2021
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