Individual
CHRISTINA MAE MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3415 VALLEY PARK CV, MEMPHIS, TN 38115-4325
(901) 502-6480
Mailing address
3415 VALLEY PARK CV, MEMPHIS, TN 38115-4325
(901) 502-6480
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
98191
CA
Other
Enumeration date
09/06/2019
Last updated
09/06/2019
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