Individual
MAYRA SELENE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
190 SIERRA CT STE B6, PALMDALE, CA 93550-7608
(661) 434-5899
Mailing address
37601 GIAVON ST, PALMDALE, CA 93552-4022
(661) 492-2244
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
3762
CA
Other
Enumeration date
12/04/2018
Last updated
12/04/2018
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