Individual
MISS MARTHA CENTENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1725 W 17TH ST, SANTA ANA, CA 92706-2316
(714) 562-1746
(714) 562-1773
Mailing address
PO BOX 355, SANTA ANA, CA 92702-0355
(714) 562-1746
(714) 562-1773
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
671721
CA
163WC1500X
Community Health Registered Nurse
Primary
70987
CA
Other
Enumeration date
04/19/2007
Last updated
11/15/2007
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