Individual
CELESTE ITZEL MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5115 NE 94TH AVE, STE D, VANCOUVER, WA 98662-6180
(360) 977-6090
Mailing address
5115 NE 94TH AVE, STE D, VANCOUVER, WA 98662-6180
(360) 977-6090
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
22308
OR
172M00000X
Mechanotherapist
Primary
MA60629301
WA
Other
Enumeration date
07/11/2016
Last updated
07/11/2016
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