Individual
NICHOLAS ALEXANDER MARTENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2600 ESTATES DR, FAIRFIELD, CA 94533-9711
(800) 326-0419
Mailing address
114 ROSEBURG WAY, FAIRFIELD, CA 94534-2992
(707) 422-4608
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
13970
CA
Other
Enumeration date
08/09/2019
Last updated
08/09/2019
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