Individual
ANTHONY MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1630 E SHAW AVE, FRESNO, CA 93710-8105
(559) 446-3097
Mailing address
1630 E SHAW AVE, FRESNO, CA 93710-8105
(559) 446-3097
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/05/2014
Last updated
11/05/2014
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