Individual
AVERY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8840 N MAGNOLIA AVE STE 220, SANTEE, CA 92071-4516
(619) 749-7059
Mailing address
5697 MONTEZUMA RD, SAN DIEGO, CA 92115-2317
(209) 233-1590
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
01/23/2020
Last updated
01/23/2020
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