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Coelise H Martin
Child & Adolescent Psychiatric/Mental Health Registered Nurse in Oakland, California
NPI 1154965283

Coelise H Martin is a Child & Adolescent Psychiatric/Mental Health Registered Nurse based in Oakland, CA and is specialized in Psychiatric/Mental Health, Child & Adolescent. Coelise H Martin practices in Oakland, CA. The NPI Number for Coelise H Martin is 1154965283 and holds a License No. N9378568 (California).

The current practice location address for Coelise H Martin is 390 40Th St, Oakland, CA and can be reached out via phone at 510-613-0330 and via fax at 510-569-4589.

Location: 390 40Th St, Oakland, CA, 94609-2633
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154965283
Provider Name
Coelise H Martin
Credential
Provider Entity Type
Individual
Gender
Female
Address
390 40Th St, Oakland, CA, 94609-2633
Phone Number
510-613-0330
Fax Number
510-569-4589
Provider Enumeration Date
10/31/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
390 40Th St
City
Oakland
State
California
Zip
94609-2633
Phone Number
510-613-0330
Fax Number
510-569-4589
person
Provider Business Mailing Address Details
Address
390 40Th St
City
Oakland
State
California
Zip
94609-2633
Phone Number
510-613-0330
Fax Number
510-569-4589
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health, Child & Adolescent
Taxonomy
163WP0807X
License No.
N9378568 (California)
Definition
Definition to come...
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