Individual
VIVIAN MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3032 N PENNSYLVANIA AVE, SAN BERNARDINO, CA 92407-6656
(909) 289-5020
Mailing address
3032 N PENNSYLVANIA AVE, SAN BERNARDINO, CA 92407-6656
(909) 289-5020
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
4064
CA
Other
Enumeration date
10/18/2016
Last updated
10/18/2016
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