Provider Demographics
NPI:1760512958
Name:SPINALI, MARTHA GUERRERI (LVN)
Entity Type:Individual
Prefix:MRS
First Name:MARTHA
Middle Name:GUERRERI
Last Name:SPINALI
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16320 AVENIDA VENUSTO
Mailing Address - Street 2:UNIT B
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92128-3239
Mailing Address - Country:US
Mailing Address - Phone:858-592-0605
Mailing Address - Fax:
Practice Address - Street 1:606 E VALLEY PKWY
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92025-3008
Practice Address - Country:US
Practice Address - Phone:760-740-4000
Practice Address - Fax:760-740-4003
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA169483164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse