Individual
DONNA MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
1055 E 6TH ST SPC 211, BEAUMONT, CA 92223-2363
(951) 219-7007
Mailing address
613 N 41ST ST, BANNING, CA 92220-3413
(951) 219-7007
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
35880
CA
Other
Enumeration date
08/26/2021
Last updated
08/26/2021
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