Most Relevant Information
Provider Data
| NPI Number: | 1003588716 |
| Provider Name: | ERICA RENIA MARTINEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 164X00000X |
| Specialty: | Licensed Vocational Nurse |
| License Number: | 710362 |
Most Important Dates
| Enumeration Date: | 09/30/2021 |
| Last Updated: | 10/22/2021 |
Provider Practice Location
3707 E SHIELDS AVE
FRESNO
CA
937267029
Practice Location Phone/Fax
| Phone: | 5592299040 |
| Fax: |
Provider Mailing Location
3707 E SHIELDS AVE
FRESNO
CA
937267029
Provider Mailing Phone/Fax
| Phone: | 5592299040 |
| Fax: |