Individual
ADIYLA MARIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
473 S CARNEGIE DR STE 200, SAN BERNARDINO, CA 92408-4201
(951) 405-3015
Mailing address
17558 VINE ST, FONTANA, CA 92335-8526
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/27/2023
Last updated
04/27/2023
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