Individual
MARTHA MAUPIN MEDLICOTT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OB/GYN N.P.
Contact information
Practice address
276 INTERNATIONAL CIR, SAN JOSE, CA 95119-1130
(408) 972-6270
(408) 927-6966
Mailing address
4041 ACAPULCO DR, CAMPBELL, CA 95008-3800
(408) 374-6321
(408) 374-6341
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
406171
CA
Other
Enumeration date
10/27/2005
Last updated
07/08/2007
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