Individual
BLANCA ROSA MARTINEZ-AYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
275 S MADERA AVE STE 404, KERMAN, CA 93630-1401
(855) 343-1057
Mailing address
121 BELMONT AVE STE 300, MENDOTA, CA 93640-8231
(855) 343-1057
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/18/2021
Last updated
11/18/2021
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