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Individual

SERGIO MARTINEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
8720 14TH AVE S, SEATTLE, WA 98108-4807
(206) 762-3730
(206) 764-0523
Mailing address
1115 W CALL ST, TALLAHASSEE, FL 32304-3556

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
363A00000X
Physician Assistant
Primary
PA70085532
WA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
10/10/2022
Last updated
04/22/2026
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