| Doctor Name: | JILLIAN ROSE MARTIN |
| NPI Number: | 1194726943 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 01058347A |
| Business Practice Address: | 1st Fssg, Mssg 15 Box 555717 Camp Pendleton, CA - 920555717 |
| Business Phone Number: | 7607253785 |
| Business Fax Number: | |
| Mailing Address: | 780 W G St, 369 SAN DIEGO |
| State: | CA |
| Postal Code: | 921015902 |
| Phone Number: | 6199942352 |
| Fax Number: | |
| NPI Enumeration Date: | 08/02/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 01058347A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |