Individual
MIGUEL MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
5680 E HOMECOMING CIR, UNIT C, EASTVALE, CA 91752-4258
(702) 686-1753
Mailing address
5680 E HOMECOMING CIR, UNIT C, EASTVALE, CA 91752-4258
(702) 686-1753
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000019007
CA
Other
Enumeration date
12/05/2016
Last updated
12/05/2016
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