Individual
ATHENA DIONNE MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
495 LAS PALOMAS DR, PORT HUENEME, CA 93041-1541
(805) 985-2149
Mailing address
2758 DETROIT DR, OXNARD, CA 93036-1784
(805) 278-4323
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/04/2008
Last updated
12/04/2008
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