Individual
TRACI MARIE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7380 CORRESPONDENCE DR, RANCHO CUCAMONGA, CA 91730-8276
(909) 582-5699
Mailing address
7380 CORRESPONDENCE DR, RANCHO CUCAMONGA, CA 91730-8276
(909) 582-5699
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
170039036
CA
Other
Enumeration date
03/25/2021
Last updated
03/25/2021
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