Individual
JILLIAN ROSE MARTIN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1ST FSSG, MSSG 15 BOX 555717, CAMP PENDLETON, CA 92055-5717
(760) 725-3785
Mailing address
780 W G ST, 369, SAN DIEGO, CA 92101-5902
(619) 994-2352
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
01058347A
IN
Other
Enumeration date
08/02/2005
Last updated
07/08/2007
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