Individual provider · Type 1 NPI
Casey Danele Martinez
Student in an Organized Health Care Education/Training Program · Glendale, AZ
NPI number
1366792848
Active
Practice location
7301 N 58th Ave
Glendale, AZ 85301-1867
Fax (623) 237-4115
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | LP047299 (AZ) |
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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- Ross Larson, DOStudent in an Organized Health Care Education/Training Program Glendale, AZ NPI 1033851092
About NPI 1366792848
Casey Danele Martinez's National Provider Identifier is 1366792848, issued on Sep 12, 2012. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Glendale, AZ. The record was last updated on Sep 12, 2012.