Individual
JORGE LUIS MARTINEZ RODRIGUEZ SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
622 S ANZA ST, EL CAJON, CA 92020-6602
(619) 422-0544
Mailing address
622 S ANZA ST, EL CAJON, CA 92020-6602
(619) 442-0544
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
95325556
CA
Other
Enumeration date
01/17/2024
Last updated
01/17/2024
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