Individual
HOLLY HENDERSON MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1001 POTRERO AVE, SFGH -MS6E, SAN FRANCISCO, CA 94110-3518
(415) 206-8516
Mailing address
1001 POTRERO AVE, SFGH -MS6E, SAN FRANCISCO, CA 94110-3518
(415) 206-8516
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A115895
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RES000
UPIN#
CA
Enumeration date
05/04/2010
Last updated
06/12/2020
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