Individual
MARTHA JANE BURNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PEER SUPPORT SPECIAL
Contact information
Practice address
6705 DE ANZA AVE, RIVERSIDE, CA 92506-3007
(951) 533-7031
Mailing address
6705 DE ANZA AVE, RIVERSIDE, CA 92506-3007
(951) 533-7031
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
CA
Other
Enumeration date
05/29/2024
Last updated
05/29/2024
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