Individual
JOSEPHINE MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4801 34TH ST, SACRAMENTO, CA 95820-4849
(916) 364-8395
Mailing address
3440 VIKING DR, SACRAMENTO, CA 95827-2844
(916) 364-8395
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
CA
Other
Enumeration date
02/13/2014
Last updated
02/13/2014
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