Individual
CATHERINE LYNN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYCHIATRIC TECH
Contact information
Practice address
125 W F ST, ONTARIO, CA 91762-3201
(909) 563-7076
Mailing address
125 W F ST, ONTARIO, CA 91762-3201
(909) 563-7076
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT33778
CA
Other
Enumeration date
05/28/2019
Last updated
03/19/2024
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