Individual
EVA DOROTHY MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. ATC, LAT
Contact information
Practice address
10039 BALTIMORE NATIONAL PIKE, STE. L, ELLICOTT CITY, MD 21042-4010
(410) 988-4319
Mailing address
2315 KANSAS AVE, SAGINAW, MI 48601-5532
(989) 980-7065
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A0000923
MD
Other
Enumeration date
11/10/2016
Last updated
11/10/2016
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