Individual
GRISELDA MARTINEZ LUNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14830 SYLVIA WAY, SAN LEANDRO, CA 94578-1871
(510) 980-2678
Mailing address
14830 SYLVIA WAY, SAN LEANDRO, CA 94578-1871
(510) 980-2678
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
08/03/2022
Last updated
08/03/2022
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