Individual
BREANNA DENEE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1901 W PACIFIC AVE STE 240, WEST COVINA, CA 91790-2090
(626) 536-4043
Mailing address
1901 W PACIFIC AVE STE 240, WEST COVINA, CA 91790-2090
(626) 536-4043
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/13/2020
Last updated
03/13/2020
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