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Individual

MR. VICTOR MARTINEZ-BRENERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CMT

Contact information

Practice address
401 W FALLBROOK AVE, STE 105, FRESNO, CA 93711-5833
(559) 647-5307
Mailing address
401 W FALLBROOK AVE, STE 105, FRESNO, CA 93711-5833
(559) 647-5307

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
M51
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
M51
MASSAGE THERAPY LICENSE
CA
Enumeration date
03/18/2010
Last updated
03/18/2010
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