Individual
AMELIA HERMINIA MARTINEZ LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7800 NILES ST, BAKERSFIELD, CA 93306-4922
(661) 328-4284
(661) 616-9977
Mailing address
7800 NILES ST, BAKERSFIELD, CA 93306-4922
(661) 328-4284
(661) 328-4284
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
PTL5675
CA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/15/2021
Last updated
06/08/2021
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