Individual
SHARON MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN-CDE
Contact information
Practice address
971 LANE AVE, CHULA VISTA, CA 91914-3501
(619) 472-1000
Mailing address
FILE # 54433, LOS ANGELES, CA 90074-0001
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
190951
CA
163WD0400X
Diabetes Educator Registered Nurse
Primary
2041-0262
CA
Other
Enumeration date
07/01/2009
Last updated
07/01/2009
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