Individual
HEATHER MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
124 1ST ST APT 6, SEAL BEACH, CA 90740-6043
(323) 245-4595
Mailing address
124 1ST ST APT 6, SEAL BEACH, CA 90740-6043
(323) 245-4595
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/12/2021
Last updated
04/12/2021
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