Individual
DANIELLE ELISA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
13768 ROSWELL AVE STE 115, CHINO, CA 91710-1402
(909) 364-1617
(909) 364-1126
Mailing address
13768 ROSWELL AVE STE 115, CHINO, CA 91710-1402
(909) 364-1617
(909) 364-1126
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA55126
CA
Other
Enumeration date
10/17/2016
Last updated
11/06/2020
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