STANISLAUS COUNTY

Exclusive Provider Organization

NPI: 1174877823Organization

Specialties, Licenses & Credentials

Exclusive Provider OrganizationPrimary

Exclusive Provider Organization

Code: 302F00000X

Contact & Hours

Address: 1208 9TH ST
MODESTO, CA 95354
Phone: (209) 558-4464

Location

Practice Location

1208 9TH ST, MODESTO, CA

Quick Facts

NPI: 1174877823
Entity Type: Organization
Medicare: Not confirmed
Specialties: 1
Locations: 1

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