Individual
GEORGINA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
8775 AERO DR, SAN DIEGO, CA 92123-1792
(858) 571-0030
Mailing address
1194 CAMINO BISCAY, CHULA VISTA, CA 91910-7700
(619) 370-4476
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP 19764
CA
Other
Enumeration date
08/16/2012
Last updated
08/16/2012
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