Most Relevant Information
Provider Data
| NPI Number: | 1003503533 |
| Provider Name: | MARTHA ALICIA MARTELL LVN |
| Entity Type: | Individual |
| Taxonomy Code: | 164X00000X |
| Specialty: | Licensed Vocational Nurse |
| License Number: | 707470 |
Most Important Dates
| Enumeration Date: | 04/24/2023 |
| Last Updated: | 04/24/2023 |
Provider Practice Location
539 N VAN NESS AVE
FRESNO
CA
937283419
Practice Location Phone/Fax
| Phone: | 5592669581 |
| Fax: | 5594980507 |
Provider Mailing Location
539 N VAN NESS AVE
FRESNO
CA
937283419
Provider Mailing Phone/Fax
| Phone: | 5592669581 |
| Fax: | 5594980507 |