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SAMUEL MARTINEZ

>> Massage Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1881197937

Individual Registrant:
 SAMUEL  MARTINEZ 
Gender: M
Sole Proprietor

Location and contact information for practice:
1554 WABASH RD  ALVISO, CA 95002-9500 US
Tel: 408-477-4675  Fax: --

Contact information for business:
PO BOX 985  ALVISO, CA 95002-0985 US
Tel: 408-477-4675  Fax: --

Registration Information:
NPI: 1881197937
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225700000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Massage Therapist
CA72912

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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