Individual
MS. RAQUEL ELISE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
5124 NORTH 9TH STREET, ARLINGTON, VA 22205
(804) 519-6849
Mailing address
5124 NORTH 9TH STREET, ARLINGTON, VA 22205
(804) 519-6849
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126000879
VA
Other
Enumeration date
04/09/2007
Last updated
12/26/2012
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