Individual
ALTAGRACIA MARTINEZ MADERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3316 W BEVERLY BLVD, MONTEBELLO, CA 90640-1537
(323) 722-4529
(323) 722-4450
Mailing address
3316 W BEVERLY BLVD, MONTEBELLO, CA 90640-1537
(323) 722-4529
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/30/2018
Last updated
10/31/2018
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