Individual
JALISSA N MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
550 N FLOWER ST, SANTA ANA, CA 92703-2361
(714) 745-5768
Mailing address
550 N FLOWER ST, SANTA ANA, CA 92703-2361
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95129635
CA
Other
Enumeration date
07/22/2020
Last updated
07/22/2020
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