Individual
ALEXANDER PHILIP MARTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
8875 AERO DR, SAN DIEGO, CA 92123-2251
(800) 698-2411
Mailing address
800 B AVE APT 320, NATIONAL CITY, CA 91950-3367
(442) 236-0246
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
687987
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
687987
LVN
CA
Enumeration date
01/28/2022
Last updated
01/28/2022
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