Individual
THOMAS REID MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CMPSS
Contact information
Practice address
1330 W RAMSEY ST, BANNING, CA 92220-4477
(951) 849-7142
(951) 849-1762
Mailing address
2085 RUSTIN AVE STE 1, RIVERSIDE, CA 92507-2498
(951) 955-7320
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-SPNJZA
CA
Other
Enumeration date
02/10/2026
Last updated
02/10/2026
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