Individual
FELICIA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
102 DARTMOUTH AVE, VALLEJO, CA 94589-1711
(707) 561-2704
Mailing address
102 DARTMOUTH AVE, VALLEJO, CA 94589-1711
(707) 561-2704
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
09/11/2023
Last updated
05/29/2026
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