Individual
GUSTAVO MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
207 W LEGION RD, BRAWLEY, CA 92227-7780
(760) 351-3130
Mailing address
2332 VICTORIA CT, IMPERIAL, CA 92251-8800
(760) 562-0052
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95023251
CA
Other
Enumeration date
01/25/2023
Last updated
01/25/2023
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