Individual provider · NPI-1
Rufino Martinez Lorenzo
Technician · Santa Maria, CA
NPI number1114619822
StatusActive
Last updated in NPPESMay 22, 2023
Details
- NPI
- 1114619822
- Entity type
- Individual (NPI-1)
- Name
- Rufino Martinez Lorenzo
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 22, 2023
- Certification date
- May 22, 2023
- Last updated
- May 22, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374700000X | Technician | – | – | Yes |
Practice location
1635 Barolo PlSanta Maria, CA 93458-6324
Phone 805-406-9286
Mailing address
7108 S Kanner HwyStuart, FL 34997-7462
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