Individual
ANTON MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
9508 S 175TH CIR, OMAHA, NE 68136-2112
(402) 896-8629
Mailing address
9508 S 175TH CIR, OMAHA, NE 68136-2112
(402) 896-8629
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
33
NE
Other
Enumeration date
07/08/2016
Last updated
07/08/2016
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