Provider Demographics
NPI:1750683165
Name:MARTINEZ, ANNA CHRISTINA (ND)
Entity Type:Individual
Prefix:DR
First Name:ANNA
Middle Name:CHRISTINA
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10225 AUSTIN DR
Mailing Address - Street 2:SUITE 108
Mailing Address - City:SPRING VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:91978-1500
Mailing Address - Country:US
Mailing Address - Phone:313-909-9495
Mailing Address - Fax:619-670-9675
Practice Address - Street 1:10225 AUSTIN DR
Practice Address - Street 2:SUITE 108
Practice Address - City:SPRING VALLEY
Practice Address - State:CA
Practice Address - Zip Code:91978-1500
Practice Address - Country:US
Practice Address - Phone:313-909-9495
Practice Address - Fax:619-670-9675
Is Sole Proprietor?:No
Enumeration Date:2010-11-18
Last Update Date:2010-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAND-428175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath