Individual
MR. MARTIN A LOAIZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LISAC
Contact information
Practice address
3250 E 40TH ST STE A, YUMA, AZ 85365-7994
(928) 341-4140
Mailing address
3559 E CUADRILLA LN, YUMA, AZ 85365-4601
(928) 341-4140
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC - 1248
AZ
Other
Enumeration date
02/05/2007
Last updated
08/26/2014
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