Individual
HEIDI MERCEDES MARTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
28900 OLD TOWN FRONT ST, STE. 103, TEMECULA, CA 92590-2856
(951) 694-1485
Mailing address
42445 FIJI WAY, TEMECULA, CA 92592-7107
(951) 694-1485
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
6589
CA
Other
Enumeration date
05/29/2007
Last updated
07/08/2007
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