Individual
JOSE LUIS SAN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
18945 FM 2252 STE 115, GARDEN RIDGE, TX 78266-2797
(210) 651-0029
Mailing address
275 S WORTHINGTON ST SPC 15, SPRING VALLEY, CA 91977-6328
(619) 475-8562
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
Primary
96471
CA
Other
Enumeration date
05/13/2010
Last updated
05/13/2010
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