Marissa Raquel Martinez
Student in an Organized Health Care Education/Training Program in Fresno, CA. Individual provider (NPI-1).
NPI number1194458166
StatusActive
Last updated in NPPESJul 6, 2022
Details
- NPI
- 1194458166
- Entity type
- Individual (NPI-1)
- Name
- Marissa Raquel Martinez
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 6, 2022
- Certification date
- Jul 6, 2022
- Last updated
- Jul 6, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – |
Practice location
5241 N Maple AveFresno, CA 93740-0001
Phone 559-278-4240
Mailing address
3645 Soledad AveClovis, CA 93619-8770
Phone 775-813-9580
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All 758 Student in an Organized Health Care Education/Training Program providers in Fresno · All 23,426 providers in Fresno
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