Individual
MISS MICAELA TERESE MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
905 W TEAL AVE, SPOKANE, WA 99218-2642
(916) 215-4147
Mailing address
905 W TEAL AVE, SPOKANE, WA 99218-2642
(916) 215-4147
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
WA
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
10/22/2021
Last updated
10/22/2021
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