Most Relevant Information
Provider Data
| NPI Number: | 1003573718 |
| Provider Name: | MONIQUE MARTINEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/17/2021 |
| Last Updated: | 11/17/2021 |
Provider Practice Location
1624 SANTA CLARA DR
ROSEVILLE
CA
956613554
Practice Location Phone/Fax
| Phone: | 9167792455 |
| Fax: |
Provider Mailing Location
1624 SANTA CLARA DR
ROSEVILLE
CA
956613554
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |