Individual
AUSTIN MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
841 E WHITCOMB AVE, GLENDORA, CA 91741-2853
(626) 665-0771
Mailing address
841 E WHITCOMB AVE, GLENDORA, CA 91741-2853
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/20/2015
Last updated
04/20/2015
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