Individual provider · Type 1 NPI

Marissa Raquel Martinez

Student in an Organized Health Care Education/Training Program · Fresno, CA

NPI number 1194458166 Active

Practice location

5241 N Maple Ave
Fresno, CA 93740-0001

Mailing address

3645 Soledad Ave
Clovis, CA 93619-8770

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1194458166

Marissa Raquel Martinez's National Provider Identifier is 1194458166, issued on Jul 6, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fresno, CA. The record was last updated on Jul 6, 2022.