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Individual

ANSBERTO MARTINEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4323 W RIVERSIDE DR, BURBANK, CA 91505-4044
(310) 301-7396
(310) 828-5165
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
127032
CA

Other

Enumeration date
03/16/2017
Last updated
02/02/2024
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