Individual
AMANDA SHAYE MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
103 D ST., MARYSVILLE, CA 95901
(530) 671-3427
(530) 671-3877
Mailing address
103 D ST, MARYSVILLE, CA 95901-6017
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
CA
101Y00000X
Counselor
—
—
Other
Enumeration date
08/25/2017
Last updated
08/25/2017
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