Individual provider · Type 1 NPI
Marissa Leandra Martinez
Student in an Organized Health Care Education/Training Program · Lyford, TX
NPI number
1366900656
Active
Practice location
6610 Primrose Rd
Lyford, TX 78569-2375
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
| Athletic Trainer | 2255A2300X | None 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.
About NPI 1366900656
Marissa Leandra Martinez's National Provider Identifier is 1366900656, issued on Mar 6, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lyford, TX. The record was last updated on Mar 6, 2019.