Individual
MR. ROBERT DEMETRIC MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1200 N STATE ST, GH ROOM # 1011, LOS ANGELES, CA 90033-1029
(323) 409-6715
Mailing address
1200 N STATE ST, GH ROOM # 1011, LOS ANGELES, CA 90033-1029
(323) 409-6715
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
359085
CA
Other
Enumeration date
07/06/2009
Last updated
07/06/2009
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