Provider Demographics
NPI:1942090113
Name:MARTIN, ALISON LYNETTE
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:LYNETTE
Last Name:MARTIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:435 S TAHQUITZ AVE
Mailing Address - Street 2:
Mailing Address - City:HEMET
Mailing Address - State:CA
Mailing Address - Zip Code:92543-5818
Mailing Address - Country:US
Mailing Address - Phone:323-799-6876
Mailing Address - Fax:
Practice Address - Street 1:435 S TAHQUITZ AVE
Practice Address - Street 2:
Practice Address - City:HEMET
Practice Address - State:CA
Practice Address - Zip Code:92543-5818
Practice Address - Country:US
Practice Address - Phone:323-799-6876
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-09
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care