Individual
JAIME CARROLL MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1122 MIDDLETON CT, MOUNT PLEASANT, SC 29464-9006
(760) 519-1735
Mailing address
1122 MIDDLETON CT, MOUNT PLEASANT, SC 29464-9006
(760) 519-1735
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95007241
CA
Other
Enumeration date
09/12/2017
Last updated
03/09/2023
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