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Individual

JESSICA CYNTHIA MARTINEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
703 W 38TH ST, NORFOLK, VA 23508-3125
(480) 861-6214
Mailing address
703 W 38TH ST, NORFOLK, VA 23508-3125
(480) 752-8865

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126003423
VA
2255A2300X
Athletic Trainer
0686
AZ

Other

Enumeration date
07/20/2007
Last updated
09/01/2021
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