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Individual

ANGELA M MARTINEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
11748 MAGNOLIA AVE STE B, RIVERSIDE, CA 92503-4955
(951) 440-6220
Mailing address
86673 WALLACE RD, THERMAL, CA 92274-9469
(760) 592-5237

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
04/10/2023
Last updated
04/10/2023
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