Individual
CLARENCE MARTIN SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1865 HOTEL CIR S, SAN DIEGO, CA 92108-3319
(619) 301-7841
Mailing address
5400 KEARNY MESA RD, SAN DIEGO, CA 92111-1303
(619) 717-2363
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
04/19/2023
Last updated
04/01/2025
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