Individual
MR. MANUEL JESUS MARTINEZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N
Contact information
Practice address
3107 S GRAND AVE, LOS ANGELES, CA 90007-3816
(213) 744-1688
(213) 744-1688
Mailing address
3107 S GRAND AVE, LOS ANGELES, CA 90007-3816
(213) 744-8186
(213) 744-1688
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
786967
CA
Other
Enumeration date
11/01/2016
Last updated
11/01/2016
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