Most Relevant Information
Provider Data
| NPI Number: | 1003229501 |
| Provider Name: | CHRIS MARTINEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/03/2014 |
| Last Updated: | 06/03/2014 |
Provider Practice Location
1722 S LEWIS RD
CAMARILLO
CA
930128520
Practice Location Phone/Fax
| Phone: | 8054554800 |
| Fax: |
Provider Mailing Location
124 CARMEN LN STE K
SANTA MARIA
CA
934587768
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |