Individual
DR. JEREMY DIEGO MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9521 NEWINGTON WAY, ELK GROVE, CA 95758-4443
(916) 432-0109
Mailing address
9521 NEWINGTON WAY, ELK GROVE, CA 95758-4443
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
A78740
CA
Other
Enumeration date
09/28/2006
Last updated
04/19/2013
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