Martinez Diaz, Gina Marie
Martinez Diaz, Gina Marie is an sole proprietor health care provider with primary practice located at 9201 Big Horn Blvd , Elk Grove CA 95758-1240. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Martinez Diaz, Gina Marie can be contacted via phone (916) 478-5016.Contact Information
Primary practice address
9201 Big Horn Blvd
Elk Grove CA 95758-1240
Phone: (916) 478-5016
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | LMFT105043 | California |
Profile Details
| NPI number | 1164555330 |
|---|---|
| LBN Legal business name | Martinez Diaz, Gina Marie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 14th, 2007 |
| Last updated | Jun 7th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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