TARA MARTIN

WILMINGTON, CA
NPI1275765836
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  188768)
Enumeration Date2009-08-17
Last Update Date2009-08-17
Business Address
-- TARA MARTIN LVN
117 E HARRY BRIDGES BLVD
WILMINGTON, CA 90744-5825
Phone number: 310-549-8383
Mailing Address
-- TARA MARTIN LVN
PO BOX 5796
LANCASTER, CA 93539-5796
Phone number: 661-723-1399
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