Individual
TYLER SANGA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
2417 MARSHALL AVE STE 1, IMPERIAL, CA 92251-9401
(760) 355-0161
Mailing address
2417 MARSHALL AVE STE 1, IMPERIAL, CA 92251-9401
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95035724
CA
Other
Enumeration date
07/03/2025
Last updated
07/03/2025
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