Bianca Martin | San Diego, CA • PECOS Search

Bianca Martin

Specialist

Other Service Providers

7930 Frost St, San Diego, CA 92123-2737

PECOS Enrollment

Based on the most recent information from CMS, provider Bianca Martin does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1215264106
Provider Type
Individual
Full Name
Martin, Bianca
Gender
Female

Sole Proprietor
Yes
Enumeration Date
11/12/2009
Last Updated
11/12/2009

Contact Information

Practice Location

7930 Frost St, San Diego, CA 92123-2737

Unlisted Fax

Mailing Location

7930 Frost St, San Diego, CA 92123-2737

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 174400000X Primary	Description Specialist Other Service Providers	License Unlisted Issuer