Individual
MRS. CASSANDRA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1908 BUSINESS CENTER DR, SUITE 220, SAN BERNARDINO, CA 92408-3436
(909) 890-5930
Mailing address
15095 AMARGOSA RD STE 208, VICTORVILLE, CA 92394-1879
(760) 245-4695
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
12/13/2006
Last updated
10/25/2019
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