Individual
KATHLEEN MARTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
617 VETERANS BLVD STE 101, REDWOOD CITY, CA 94063-1404
(650) 384-9358
Mailing address
4325 GLENCOE UNIT 10584, MARINA DEL REY, CA 90295-4476
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
57647
CA
Other
Enumeration date
02/03/2014
Last updated
06/11/2020
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