MISS Mariah Maureen Martinez
NPI #1619423902 in Espanola, New Mexico
Provider Information
- NPI Number
- 1619423902
- Entity Type
- Individual
- Name
- MISS Mariah Maureen Martinez
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Enumeration Date
- Aug 28, 2016
- Last Updated
- Apr 5, 2017
Practice Location
- Address
- 1421 MONTANA VISTA ST
- City
- Espanola
- State
- New Mexico
- ZIP Code
- 87532
- Phone
- (505) 929-0123
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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