Individual
MICHELLE R MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1440 HEATHER CT, MANTECA, CA 95336-2949
(209) 834-4006
Mailing address
1440 HEATHER CT, MANTECA, CA 95336-2949
(209) 834-4006
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
08/10/2023
Last updated
08/10/2023
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