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Individual

MRS. PRINCESS MARTIN-AYONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, AGNP-C

Contact information

Practice address
2001 E 21ST ST UNIT 127, SIGNAL HILL, CA 90755-5954
(562) 507-6451
Mailing address
2001 E 21ST ST UNIT 127, SIGNAL HILL, CA 90755-5954
(562) 507-6451

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
95028337
CA
363LA2200X
Adult Health Nurse Practitioner
AG11230039
CA
363LG0600X
Gerontology Nurse Practitioner
AG11230039
CA

Other

Enumeration date
11/22/2023
Last updated
07/09/2024
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