| NPI | 1922542182 |
|---|---|
| Other Name | MARCO MARTINEZ |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95005530) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: CA 95005530) |
| Enumeration Date | 2016-12-07 |
| Last Update Date | 2020-06-16 |