Individual
KATHRYNE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4930 NAPLES ST, SAN DIEGO, CA 92110-3820
(760) 315-7123
Mailing address
27777 INKSTER RD, FARMINGTON HILLS, MI 48334-5326
(248) 436-4400
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
175T00000X
Peer Specialist
Primary
—
CA
Other
Enumeration date
07/15/2019
Last updated
05/22/2020
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