Individual
MR. RAY MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
11275 PASEO MONTANOSO, APT 239, SAN DIEGO, CA 92127-5982
(760) 895-5903
Mailing address
11275 PASEO MONTANOSO, APT 239, SAN DIEGO, CA 92127-5982
(760) 895-5903
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
11/01/2012
Last updated
11/01/2012
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