Individual
EMMANUELLE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5901 E 7TH ST, LONG BEACH, CA 90822-5201
(562) 826-8000
Mailing address
5901 E 7TH ST BLDG 128, LONG BEACH, CA 90822-5201
(562) 826-8000
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
826889
CA
Other
Enumeration date
06/27/2019
Last updated
03/29/2021
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