Most Relevant Information
Provider Data
| NPI Number: | 1003475062 |
| Provider Name: | YVONNE MARTINEZ THOMAS BA, RADT-I |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/12/2019 |
| Last Updated: | 07/29/2020 |
Provider Practice Location
2844 COLOMA ST
PLACERVILLE
CA
956674406
Practice Location Phone/Fax
| Phone: | 5303444544 |
| Fax: |
Provider Mailing Location
2844 COLOMA ST
PLACERVILLE
CA
956674406
Provider Mailing Phone/Fax
| Phone: | 5303444544 |
| Fax: |