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Individual

MS. JEANETTE REENE MARTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
38510 92ND ST E, PALMDALE, CA 93591-2230
(661) 855-5277
Mailing address
38510 92ND ST E, PALMDALE, CA 93591-2230
(661) 855-5277

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
275072
CA

Other

Enumeration date
09/22/2020
Last updated
09/22/2020
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