DANIEL OZOMAHTLI MARTIN

SANTA FE SPRINGS, CA
NPI1255988648
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-08-21
Last Update Date2019-08-21
Business Address
DANIEL OZOMAHTLI MARTIN
11015 BLOOMFIELD AVE
SANTA FE SPRINGS, CA 90670-4601
Phone number: 562-906-2676
Mailing Address
DANIEL OZOMAHTLI MARTIN
4849 W 94TH ST
INGLEWOOD, CA 90301-3146
Phone number: 310-671-8555