Individual
MS. LINDA CARRIE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MEDICAL SKIN CARE SP
Contact information
Practice address
1350 W 6TH ST, SAN PEDRO, CA 90732-3544
(310) 308-1695
(206) 309-9105
Mailing address
1350 W 6TH ST, SAN PEDRO, CA 90732-3544
(310) 308-1695
(206) 309-9105
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
Z10168
CA
Other
Enumeration date
09/29/2009
Last updated
09/29/2009
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