Individual
MARIA SUSANA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
629 HAMPTON RD, HAYWARD, CA 94541-1417
(510) 921-2234
Mailing address
18540 MADISON AVE, CASTRO VALLEY, CA 94546-1640
(510) 921-2234
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
019200327
CA
Other
Enumeration date
10/13/2021
Last updated
10/13/2021
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