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Individual
MARK MARTINEZ
Active
Individual
MARK MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MENTAL HEALTH WORKER
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
D7822629
CA
373H00000X
Day Training/Habilitation Specialist
Primary
D7822629
CA
Other
Enumeration date
06/26/2023
Last updated
03/24/2026
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