Individual
MIKAELA MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30125 AGOURA RD STE F, AGOURA, CA 91301-4337
(818) 322-9056
Mailing address
2722 E 1ST ST, LONG BEACH, CA 90803-2550
(818) 322-9056
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
CA
Other
Enumeration date
05/05/2025
Last updated
06/06/2025
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