Individual
ANNELIESE FOX MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
900 DUKE AVE, ODESSA, TX 79765-2109
(432) 661-8374
Mailing address
900 DUKE AVE, ODESSA, TX 79765-2109
(432) 661-8374
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1031196
TX
Other
Enumeration date
07/16/2015
Last updated
07/16/2015
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