Individual
MISS SELINA MARIE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 W CARSON ST, TORRANCE, CA 90502-2004
(310) 222-2342
Mailing address
20 13TH ST, HERMOSA BEACH, CA 90254-3503
(310) 433-9935
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
22286
CA
Other
Enumeration date
09/20/2012
Last updated
09/20/2012
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