Organization
MITLA PROFESSIONAL NURSING CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIO MARTINEZ NP (CEO)
(323) 369-0955
Entity
Organization
Contact information
Practice address
4111 MAINE AVE, BALDWIN PARK, CA 91706-3307
(626) 939-0676
(626) 517-5482
Mailing address
4111 MAINE AVE, BALDWIN PARK, CA 91706-3307
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
02/05/2024
Last updated
05/22/2024
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