Individual
KATHLEEN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ABOC
Contact information
Practice address
7629 MELROSE AVE, LOS ANGELES, CA 90046-7419
(323) 401-0661
Mailing address
7629 MELROSE AVE, LOS ANGELES, CA 90046-7419
(323) 401-0661
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
216205
WA
Other
Enumeration date
09/03/2024
Last updated
09/03/2024
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