Individual
MS. BONNALYN JOAN MARTINO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
200 MUIR RD, KAISER MEDICAL OFFICES - MEDICINE F, MARTINEZ, CA 94553-4614
(925) 372-1740
Mailing address
571 MERRIEWOOD DR, LAFAYETTE, CA 94549-5554
(925) 283-5482
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN286348
CA
Other
Enumeration date
08/18/2005
Last updated
07/08/2007
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