Individual
JEREMY WREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3000 Q ST, SACRAMENTO, CA 95816-7058
(916) 733-5779
(916) 733-3462
Mailing address
3400 DATA DR, PHYSICIAN SUPPORT SERVICES, RANCHO CORDOVA, CA 95670-7956
(916) 379-2948
(916) 858-7065
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
20A11506
CA
208100000X
Physical Medicine & Rehabilitation Physician
STUDENT
CA
Other
Enumeration date
05/27/2009
Last updated
07/01/2013
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