Individual
SONJA JOANNE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
706054
CA
163WG0000X
General Practice Registered Nurse
Primary
706054
CA
163WH0200X
Home Health Registered Nurse
706054
CA
163WH1000X
Hospice Registered Nurse
706054
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
706054
RN LICENSE
CA
Enumeration date
11/19/2012
Last updated
11/19/2012
Update your record
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