Individual
MR. HALIE ACAS MARTINEZ I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PROVIDER
Contact information
Practice address
5500 SILVER CROSSING ST, BAKERSFIELD, CA 93313-4124
(661) 444-4125
Mailing address
PO BOX 20457, BAKERSFIELD, CA 93390-0457
(661) 444-4125
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
121453
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A2231299
CA DRIVER LICENSE
CA
Enumeration date
08/10/2011
Last updated
08/10/2011
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