Individual
CARLIE MORAZA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1701 DIVISADERO ST, SAN FRANCISCO, CA 94115-3011
(415) 353-7900
Mailing address
1701 DIVISADERO ST, SAN FRANCISCO, CA 94115-3011
(415) 353-7900
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
95007262
CA
363LG0600X
Gerontology Nurse Practitioner
RN2329868
MA
Other
Enumeration date
08/31/2017
Last updated
11/07/2024
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