Individual
ALYSSA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
541 S HAM LN, LODI, CA 95242-3059
(209) 224-8940
Mailing address
1563 ROSEMARIE LN APT 316, STOCKTON, CA 95207-7883
(209) 636-9190
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
164X00000X
Licensed Vocational Nurse
Primary
758426
CA
Other
Enumeration date
12/02/2025
Last updated
04/20/2026
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