Individual
BENJAMIN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2677 ZOE AVE STE 304, HUNTINGTON PARK, CA 90255-3699
(323) 346-0960
(323) 346-0960
Mailing address
2677 ZOE AVE STE 304, HUNTINGTON PARK, CA 90255-3699
(323) 346-0960
(323) 346-0960
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
03/10/2020
Last updated
03/10/2020
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