Individual
ALEX MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1001 S STATE ST, HEMET, CA 92543-7186
(951) 357-6959
Mailing address
23485 BADGER CREEK LN, CANYON LAKE, CA 92587-7222
(951) 348-9639
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/29/2020
Last updated
10/29/2020
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