Individual
MRS. JAIME MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PPS
Contact information
Practice address
10704 BLUE CREST RD, YUCAIPA, CA 92399-5926
(909) 844-6624
Mailing address
10704 BLUE CREST RD, YUCAIPA, CA 92399-5926
(909) 844-6624
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
08/01/2024
Last updated
08/01/2024
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