Individual
CAROL MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
760 MORRO BAY BLVD, MORRO BAY, CA 93442-1918
(805) 772-6587
Mailing address
760 MORRO BAY BLVD, MORRO BAY, CA 93442-1918
(805) 772-6587
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
469556
CA
Other
Enumeration date
12/13/2007
Last updated
12/13/2007
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