Individual
MRS. JULIA DEMETRIOUS MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
494412
Contact information
Practice address
550 S VERMONT AVE, 11TH FLOOR, LOS ANGELES, CA 90020-1912
(213) 639-6777
(213) 637-0790
Mailing address
15313 RANCHO POLERMO RD, PARAMOUNT, CA 90723-4569
(562) 408-0903
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
494412
CA
Other
Enumeration date
01/22/2007
Last updated
07/08/2007
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