Individual
CHARLENE SARAH MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
5362 LEMEE LN, MARIPOSA, CA 95338-9556
(209) 966-2000
Mailing address
PO BOX 99, MARIPOSA, CA 95338-0099
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
209161
CA
Other
Enumeration date
02/08/2018
Last updated
02/08/2018
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