Individual
CAROLYN MOSS MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1016 OUTER RD, SAN DIEGO, CA 92154
(619) 429-3733
Mailing address
PO BOX 459, IMPERIAL BEACH, CA 91933-0459
(619) 429-3733
(619) 429-3733
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
22031
CA
Other
Enumeration date
10/05/2009
Last updated
06/12/2018
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