person
Elisa R. Martinez, PA
Medical Physician Assistant in Modesto, California
NPI 1720061716

Elisa R. Martinez is a Medical Physician Assistant based in Merced, CA and is specialized in Medical. Elisa R. Martinez practices in Modesto, CA and has the professional credentials of PA. The NPI Number for Elisa R. Martinez is 1720061716 and holds a License No. PA12678 (California).

The current practice location address for Elisa R. Martinez is 2101 Tenaya Dr, Modesto, CA and can be reached out via phone at 209-576-6766 and via fax at 209-576-6776. You can also correspond with Elisa R. Martinez through the mailing address at 737 W CHILDS AVE, MERCED, CA - 95340-6805 (mailing address contact number: 209-383-1848).

Location: 2101 Tenaya Dr, Modesto, CA, 95340-6805
person
Provider Profile Details
NPI Number
1720061716
Provider Name
Elisa R. Martinez
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
2101 Tenaya Dr, Modesto, CA, 95340-6805
Phone Number
209-576-6766
Fax Number
209-576-6776
Provider Enumeration Date
11/22/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2101 Tenaya Dr
City
State
Zip
95354-3930
Phone Number
209-576-6766
Fax Number
209-576-6776
person
Provider Business Mailing Address Details
Address
2101 Tenaya Dr
City
State
Zip
95354-3930
Phone Number
209-576-6766
Fax Number
209-576-6776
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA12678 (California)
Definition
Definition to come...
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