Individual
LETICIA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
123 CAMINO DE LA REINA STE 100A, SAN DIEGO, CA 92108-3002
(619) 363-0853
Mailing address
123 CAMINO DE LE REINA, SUITE 100A, SAN DIEGO, CA 92108
Taxonomy
Speciality
Code
Description
License number
State
246YR1600X
Registered Record Administrator
Primary
—
—
Other
Enumeration date
04/05/2018
Last updated
04/05/2018
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