Martinez, Vivian Nicole

Martinez, Vivian Nicole is an individual health care provider with primary practice located at 11980 Mount Vernon Ave , Grand Terrace CA 92313-5172. She recently has only one registered license in Other Service Providers / Driver, which is considered as her primary health care specialty. Martinez, Vivian Nicole can be contacted via phone (951) 392-1254.

Contact Information

Primary practice address
11980 Mount Vernon Ave Grand Terrace CA 92313-5172
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X California

Profile Details

NPI number 1114498037
LBN Legal business name Martinez, Vivian Nicole
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 17th, 2018
Last updated Dec 17th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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