Individual
ANTONIO HARVEY MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
865 ALAMEDA ST # 3, ALTADENA, CA 91001-2440
(626) 463-8776
Mailing address
865 ALAMEDA ST # 3, ALTADENA, CA 91001-2440
(626) 463-8776
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/09/2007
Last updated
03/09/2016
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