Individual
MS. VIVIAN M MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
13 BONSALL AVE, ALDAN, PA 19018-3823
(610) 809-2530
Mailing address
13 BONSALL AVE, ALDAN, PA 19018-3823
(610) 809-2530
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
RN548363
PA
Other
Enumeration date
12/26/2008
Last updated
12/26/2008
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