Individual
DANYELLE LEA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
129 VILLAGE CIRCLE DR, LOMPOC, CA 93436-5650
(805) 944-2644
Mailing address
129 VILLAGE CIRCLE DR, LOMPOC, CA 93436-5650
(805) 944-2644
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
216104
CA
Other
Enumeration date
01/14/2010
Last updated
01/14/2010
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