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Individual
MS. MARTHA DURAN
Active
Individual
MS. MARTHA DURAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 14451
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1036816
NCCPA
CA
01
—
PA14451
LICENSE
CA
Enumeration date
12/28/2005
Last updated
03/07/2023
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