Individual
HAILLIE CHANEL MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 MICHIGAN AVE, VISTA, CA 92084-5424
(760) 509-3396
Mailing address
200 MICHIGAN AVE, VISTA, CA 92084-5424
(760) 509-3396
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/02/2023
Last updated
03/16/2023
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