Individual
TERESA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
730 MEDICAL CENTER CT, CHULA VISTA, CA 91911-6618
(858) 278-2847
Mailing address
730 MEDICAL CENTER CT, CHULA VISTA, CA 91911-6618
(858) 278-2847
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
950999308
CA
Other
Enumeration date
05/11/2017
Last updated
05/12/2017
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