Individual
MISS MARICELA J MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BACHELOR
Contact information
Practice address
1615 BRANDEE LN, SANTA ROSA, CA 95403-8608
(951) 291-3470
Mailing address
1615 BRANDEE LN, SANTA ROSA, CA 95403-8608
(951) 291-3470
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
7229
CA
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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