Individual
IRIDIAN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4000 W METROPOLITAN DR # 120, ORANGE, CA 92868-3504
(715) 972-3700
Mailing address
4000 W METROPOLITAN DR # 120, ORANGE, CA 92868-3504
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
CA
Other
Enumeration date
09/01/2022
Last updated
09/15/2022
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