Individual
JACQUELINE CARRY MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16940 HIGHWAY 14 STE F, MOJAVE, CA 93501-1238
(661) 824-5020
(661) 824-5026
Mailing address
37461 LARAMIE ST, PALMDALE, CA 93552-4347
(323) 495-9573
(661) 824-5026
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/05/2024
Last updated
04/01/2024
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