Individual
MRS. CATALINA MARTINEZ MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ADC
Contact information
Practice address
7993 SIERRA AVE, SUITE K, FONTANA, CA 92336-3330
(909) 822-8720
(909) 822-8438
Mailing address
7993 SIERRA AVENUE SUITE K, FONTANA, CA 92376-2850
(909) 822-8720
(909) 822-8438
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
2464060
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4757
TEMPORARY PIN
CA
Enumeration date
08/29/2008
Last updated
08/29/2008
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