Individual
ALEXIS MIRANDA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
534 HILLSMERE DR, ANNAPOLIS, MD 21403-4199
(410) 263-9231
Mailing address
534 HILLSMERE DR, ANNAPOLIS, MD 21403-4199
(410) 263-9231
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A00289
MD
Other
Enumeration date
05/24/2023
Last updated
05/24/2023
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