ALFONSO MARTIN

VENICE, CA
NPI1215553441
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2020-06-23
Last Update Date2020-06-23
Business Address
ALFONSO MARTIN BA/BS
204 HAMPTON DR
VENICE, CA 90291-2623
Phone number: 310-396-6468
Mailing Address
ALFONSO MARTIN BA/BS
204 HAMPTON DR
VENICE, CA 90291-2623
Phone number: 310-396-6468