Individual
JENNY LAURA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13078 FOX CT, GROVELAND, CA 95321-9540
(209) 855-6156
Mailing address
793 GARDEN GATE DR, MANTECA, CA 95336-3700
(209) 855-6156
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
CA
Other
Enumeration date
12/27/2021
Last updated
12/27/2021
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