Individual
ALFONSO MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CTSS
Contact information
Practice address
2197 S 4TH AVE STE 202, YUMA, AZ 85364-6473
(928) 920-6220
Mailing address
2197 S 4TH AVE STE 202, YUMA, AZ 85364-6473
(928) 920-6220
(928) 259-7272
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/17/2022
Last updated
08/17/2022
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