Individual
ANANIAS MOSES MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 GOODRICH BLVD, COMMERCE, CA 90022-5103
(323) 832-9795
Mailing address
1000 GOODRICH BLVD, COMMERCE, CA 90022-5103
(323) 832-9795
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
76183
CA
Other
Enumeration date
03/04/2014
Last updated
03/04/2014
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