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Individual

MARTHA E MARTINEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BSN, CDE

Contact information

Practice address
2001 4TH AVE, SAN DIEGO, CA 92101-2303
(858) 499-2600
Mailing address
2001 4TH AVE, SAN DIEGO, CA 92101-2303
(858) 499-2600

Taxonomy

Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
RN375722
CA

Other

Enumeration date
10/20/2015
Last updated
10/20/2015
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