Individual
RYAN ANTHONY MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1337 LOWER CAMPUS RD, HONOLULU, HI 96822-2352
(808) 956-4637
Mailing address
20264 JUNE CT, RIVERSIDE, CA 92508-2939
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/18/2019
Last updated
01/18/2019
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