Individual
JOHANNA LIZETTE MARTINEZ-YEPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
455 W MONTANA ST, PASADENA, CA 91103-1327
(626) 398-6300
Mailing address
455 W MONTANA ST, PASADENA, CA 91103-1327
(626) 398-6300
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
690088
CA
Other
Enumeration date
04/19/2017
Last updated
04/19/2017
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