Individual
LARISA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3491 KURTZ ST STE 150, SAN DIEGO, CA 92110-4430
(510) 833-0943
Mailing address
3491 KURTZ ST STE 150, SAN DIEGO, CA 92110-4430
(916) 501-4481
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
03/31/2025
Last updated
03/31/2025
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