Individual
JEANNETTE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1245 TAPADERA DR, SANTA ROSA, CA 95407-7332
(707) 480-5366
Mailing address
1245 TAPADERA DR, SANTA ROSA, CA 95407-7332
(707) 480-5366
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
CA
Other
Enumeration date
10/15/2020
Last updated
09/04/2025
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