Individual
BONITA MARIA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23119 SOBOBA RD, SAN JACINTO, CA 92583-2903
(951) 654-0803
Mailing address
PO BOX 1212, DESERT HOT SPRINGS, CA 92240-0932
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
123320
CA
Other
Enumeration date
08/01/2022
Last updated
07/08/2024
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