Individual
DR. COLLEEN L MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2021 MONTROSE AVE, SUITE A, MONTROSE, CA 91020-1670
(818) 249-1152
(818) 249-9615
Mailing address
2021 MONTROSE AVE, SUITE A, MONTROSE, CA 91020-1670
(818) 249-1152
(818) 249-9615
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
9043T
CA
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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