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NPI Code Detail

MEDICARE: MRS. MELODY ANN MARTINEZ

MEDICARE: MRS. MELODY ANN MARTINEZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1326170747
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MELODY ANN MARTINEZ
Provider Business Mailing Address
First Line : 9431 MANZANITA DR
Second Line :
City : RANCHO CUCAMONGA
State : CA
Zip : 91737-2136
Country : US
Telephone Number : 909-941-3027
Fax Number :
Provider Business Practice Location Address
First Line : 4129 STATE ST
Second Line :
City : SANTA BARBARA
State : CA
Zip : 93110-1848
Country : US
Telephone Number : 818-398-8559
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2007
Last Update Date : 07/08/2007

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Directions to “ MRS. MELODY ANN MARTINEZ ” Practice Location

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