Individual
CHRISTINE ANNE MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3601 CALLE TECATE STE 201, CAMARILLO, CA 93012-5056
(805) 665-7542
Mailing address
3601 CALLE TECATE STE 201, CAMARILLO, CA 93012-5056
(805) 665-7542
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
56CC
ASPIRA
CA
Enumeration date
03/07/2024
Last updated
03/07/2024
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