Individual
SASHA BERNADETTE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3604 CHANT DR, MODESTO, CA 95355-8482
(408) 768-4585
Mailing address
3204 MILLBROOK AVE, MODESTO, CA 95355-8648
(408) 771-2648
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
08/18/2023
Last updated
08/18/2023
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