Individual
MARTHA PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 E JULIAN ST, SAN JOSE, CA 95112-4007
(408) 918-2600
Mailing address
100 PASITO TER APT 121, SUNNYVALE, CA 94086-4857
(515) 749-0104
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
605598
CA
Other
Enumeration date
10/17/2007
Last updated
10/17/2007
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