Individual
MILES SAMUEL MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
609 5TH ST, MODESTO, CA 95351-3316
(916) 584-7223
(209) 341-0716
Mailing address
609 5TH ST, MODESTO, CA 95351-3316
(916) 584-7223
(209) 341-0716
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
CA
Other
Enumeration date
12/15/2023
Last updated
05/19/2025
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