Individual
MARTHA M HUACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
500 CROWN POINT CIR, GRASS VALLEY, CA 95945-9561
(530) 470-2408
Mailing address
14319 KNOBCONE DR, PENN VALLEY, CA 95946-9519
(530) 329-6156
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
95125466
CA
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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