Individual
AMY MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
3186 ROSE AVE, SAN LUIS OBISPO, CA 93401-5905
(805) 234-3599
Mailing address
3186 ROSE AVE, SAN LUIS OBISPO, CA 93401-5905
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
745722
CA
Other
Enumeration date
08/02/2021
Last updated
08/02/2021
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