Individual
GRISELDA VEGA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1722 S LEWIS RD, CAMARILLO, CA 93012-8520
(805) 366-4040
Mailing address
2615 S MILLER ST STE 106, SANTA MARIA, CA 93455-1775
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
07/23/2024
Last updated
05/28/2025
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