Individual
MS. A. DIANE MARTELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2055 SAVIERS RD, OXNARD, CA 93033-3608
(805) 483-2253
Mailing address
7246 REMMET AVE, CANOGA PARK, CA 91303-1531
(818) 206-0360
(818) 206-0382
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MP1906
CA
Other
Enumeration date
03/11/2008
Last updated
03/11/2008
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