Individual
ANTHONY MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
295 TRAIL DR, GREEN RIVER, WY 82935-5460
(951) 965-3576
Mailing address
295 TRAIL DR, GREEN RIVER, WY 82935-5460
(951) 965-3576
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/20/2014
Last updated
06/20/2014
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