Individual
DONALD JASON MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1000 E UNIVERSITY AVE, DEPARTMENT 3414, LARAMIE, WY 82071-2000
(307) 766-5052
Mailing address
1000 EAST UNIVERSITY AVENUE, DEPARTMENT 3414, LARAMIE, WY 82071
(307) 766-5052
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
24
WY
Other
Enumeration date
01/14/2011
Last updated
01/14/2011
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