MICHAEL MARTIN

VICTORVILLE, CA
NPI1366761702
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy167G00000X Licensed Psychiatric Technician
(Licence:   35430)
Enumeration Date2010-05-25
Last Update Date2010-05-25
Business Address
-- MICHAEL MARTIN LPT
16460 VICTOR ST
VICTORVILLE, CA 92395-3918
Phone number: 760-245-8837
Mailing Address
-- MICHAEL MARTIN LPT
16460 VICTOR ST
VICTORVILLE, CA 92395-3918
Phone number: 760-245-8837