Individual
MARESTEL LALUAN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 POTRERO AVE, SAN FRANCISCO, CA 94110-3518
(628) 206-8000
Mailing address
209 E 139TH ST, LOS ANGELES, CA 90061-2115
(619) 871-9085
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
95099041
CA
Other
Enumeration date
07/01/2025
Last updated
07/01/2025
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