Individual
MS. LUDELVIRA MARTINEZ SORIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4930 WYCONDA LN, SAN DIEGO, CA 92113-3565
(619) 586-0772
Mailing address
2308 MONTCLIFF RD, SAN DIEGO, CA 92139-3924
(619) 274-4989
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/19/2019
Last updated
09/19/2019
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