Individual
CORI LAINA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
42380 MEADOWLARK RDG, MURRIETA, CA 92562-8915
(760) 822-2674
Mailing address
42380 MEADOWLARK RDG, MURRIETA, CA 92562-8915
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22105
CA
Other
Enumeration date
08/20/2015
Last updated
08/20/2015
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