IVAN MARTIN

EL CENTRO, CA
NPI1215409941
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: CA  701236)
Enumeration Date2018-12-19
Last Update Date2018-12-19
Business Address
IVAN MARTIN
200 S 5TH ST
EL CENTRO, CA 92243-3013
Phone number: 760-482-0864
Mailing Address
IVAN MARTIN
173 DRIFTWOOD DR
EL CENTRO, CA 92243-4593
Phone number: