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Individual

MS. ANNETTE MARICELA MARTINEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
3601 PACIFIC AVE, STOCKTON, CA 95211-0110
(209) 946-2340
(209) 946-2190
Mailing address
1608 BONAIRE CIR, STOCKTON, CA 95210-5671
(209) 639-2011

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
02/24/2015
Last updated
02/24/2015
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