Individual
IVONNE ELIANA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2315 STOCKTON BLVD, SACRAMENTO, CA 95817-2201
(916) 734-7506
(916) 734-4810
Mailing address
2315 STOCKTON BLVD STE 2P101, SACRAMENTO, CA 95817-2201
(916) 734-7506
(916) 734-4810
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A176578
CA
208M00000X
Hospitalist Physician
Primary
A176578
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/21/2019
Last updated
09/01/2022
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