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NPI Code Detail

MEDICARE: BRYCE MARIE MARTINEZ CD(DONA)

MEDICARE:   BRYCE MARIE MARTINEZ  CD(DONA)
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374J00000XDoula13495CA

General Provider Information

NPI Number : 1114646767
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRYCE MARIE MARTINEZ CD(DONA)
Provider Business Mailing Address
First Line : 23620 ELSINORE LN
Second Line :
City : MENIFEE
State : CA
Zip : 92587-9208
Country : US
Telephone Number : 951-406-8067
Fax Number :
Provider Business Practice Location Address
First Line : 23620 ELSINORE LN
Second Line :
City : MENIFEE
State : CA
Zip : 92587-9208
Country : US
Telephone Number : 951-406-8067
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2022
Last Update Date : 08/25/2022

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Directions to “ BRYCE MARIE MARTINEZ CD(DONA)” Practice Location

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