Individual
MA ADELVER QUINITIO MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5912 LOMOND DR, SAN DIEGO, CA 92120-4541
(210) 518-8688
Mailing address
5912 LOMOND DR, SAN DIEGO, CA 92120-4541
(210) 518-8688
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
514617
CA
Other
Enumeration date
09/23/2020
Last updated
09/23/2020
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