Individual
ALEXANDRA SAMARAH ESPITIA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RADT I
Contact information
Practice address
7592 BROADWAY, LEMON GROVE, CA 91945-1604
(619) 515-2550
Mailing address
1750 5TH AVE, SAN DIEGO, CA 92101-2754
(619) 362-9905
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1477240822
CA
Other
Enumeration date
01/11/2022
Last updated
01/08/2024
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