Individual
BLANCA MARTINEZ-AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2731 NUGGET AVE, LAKE ISABELLA, CA 93240-9456
(760) 379-3412
(760) 379-5332
Mailing address
2731 NUGGET AVE, LAKE ISABELLA, CA 93240-9456
(760) 379-3412
(760) 379-5332
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
—
CA
Other
Enumeration date
06/06/2023
Last updated
08/16/2023
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