Individual
LISA CHRISTINA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, CFO
Contact information
Practice address
400 PARNASSUS AVE RM A096, SAN FRANCISCO, CA 94143-2202
(415) 476-1788
Mailing address
3535 EL PORTAL DR APT B204, EL SOBRANTE, CA 94803-2765
(916) 410-3919
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
CFO05773
CA
2255A2300X
Athletic Trainer
Primary
2000015288
CA
Other
Enumeration date
11/22/2023
Last updated
11/22/2023
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