Individual
ALEXIS ALAN MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
21 PALO ALTO CT, PLEASANT HILL, CA 94523-1142
(956) 650-4594
Mailing address
21 PALO ALTO CT, PLEASANT HILL, CA 94523-1142
(956) 650-4594
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
94028055
CA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/27/2023
Last updated
12/13/2024
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