Individual
MARTIN R. DOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2295 S VINEYARD AVE, ONTARIO, CA 91761-7925
(909) 724-5000
Mailing address
7176 MARGATE CT, RANCHO CUCAMONGA, CA 91739-1865
(626) 226-6014
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
647522
CA
Other
Enumeration date
08/23/2019
Last updated
08/23/2019
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