Marissa Leandra Martinez

NPI #1366900656 in Lyford, Texas

Provider Information

NPI Number: 1366900656
Entity Type: Individual
Name: Marissa Leandra Martinez
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Mar 6, 2019
Last Updated: Mar 6, 2019

Practice Location

Address: 6610 PRIMROSE RD
City: Lyford
State: Texas
ZIP Code: 78569-2375
Phone: (512) 738-7457

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X

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