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Individual

RALPH MARTHA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
7171 BOWLING DR STE 300, SACRAMENTO, CA 95823-2043
(916) 394-9195
Mailing address
3628 MADISON AVE STE 7, NORTH HIGHLANDS, CA 95660-5070
(916) 584-7216

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
175T00000X
Peer Specialist
Primary
MPSS-ZIAWBY
CA

Other

Enumeration date
03/25/2019
Last updated
06/20/2025
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