Provider Demographics
NPI:1972360261
Name:MARTINEZ, SHENE ESTHER (CD, CPD, CLEC, CCCE)
Entity Type:Individual
Prefix:
First Name:SHENE
Middle Name:ESTHER
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:CD, CPD, CLEC, CCCE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7901 OAKPORT ST STE 4350
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94621-2045
Mailing Address - Country:US
Mailing Address - Phone:510-875-3716
Mailing Address - Fax:
Practice Address - Street 1:7901 OAKPORT ST STE 4350
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94621-2045
Practice Address - Country:US
Practice Address - Phone:510-875-3716
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-04
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula