Individual
DR. AUSTIN MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
830 2ND ST STE B, SANTA ROSA, CA 95404-4620
(707) 494-2501
Mailing address
4561 FABLE CT, SANTA ROSA, CA 95404-6253
(707) 494-2501
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
36171
CA
Other
Enumeration date
12/08/2021
Last updated
12/08/2021
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