Beverly Grace Martin, | |
813 Adelita St, Montebello, CA 90640-2504 | |
(213) 804-0055 | |
Not Available |
Full Name | Beverly Grace Martin |
---|---|
Gender | Female |
Speciality | Licensed Vocational Nurse |
Location | 813 Adelita St, Montebello, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760186258 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164X00000X | Licensed Vocational Nurse | VN169181 (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
Beverly Grace Martin, 813 Adelita St, Montebello, CA 90640-2504 Ph: (213) 804-0055 | Beverly Grace Martin, 813 Adelita St, Montebello, CA 90640-2504 Ph: (213) 804-0055 |
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