Individual
KERRY MAREE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMPSS
Contact information
Practice address
855 3RD AVE STE 1110, CHULA VISTA, CA 91911-1350
(619) 934-5770
Mailing address
855 3RD AVE STE 1110, CHULA VISTA, CA 91911-1350
(619) 934-5770
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-APGNZS
CA
Other
Enumeration date
03/22/2024
Last updated
03/25/2024
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