Individual
GLENN MARTINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
110 JACKSON ST, SAN JOSE, CA 95112-5105
(408) 753-9283
Mailing address
110 JACKSON ST, SAN JOSE, CA 95112-5105
(408) 753-9283
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
23639
CA
Other
Enumeration date
04/17/2012
Last updated
04/17/2012
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