Individual
CRYSTAL ANDREA MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2940 N CHURCH ST, LAYTON, UT 84040-6614
(801) 935-4171
Mailing address
723 S 700 W, BRIGHAM CITY, UT 84302-3005
(435) 237-7374
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/04/2019
Last updated
02/04/2019
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