Individual
MS. ALICIA MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
540 10TH ST, IMPERIAL BEACH, CA 91932-1513
(619) 423-0211
(619) 423-0211
Mailing address
540 10TH ST, IMPERIAL BEACH, CA 91932-1513
(619) 423-0211
(619) 423-0211
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
053279
CA
Other
Enumeration date
05/12/2008
Last updated
05/12/2008
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