Individual
MS. MARTHA SERVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11741 TELEGRAPH RD, SANTA FE SPRINGS, CA 90670-3681
(562) 801-0318
Mailing address
3181 W MONROE AVE, ANAHEIM, CA 92801-6035
(714) 932-1860
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT36443
CA
Other
Enumeration date
05/30/2012
Last updated
05/30/2012
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