David Glen Mordecai

NPI 1679738876 - Counselor - 101Y00000X

NPI Details
NPI 1679738876
Gender Male
Enumeration Date 07/28/2008
Last Updated 07/28/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
1212 N CALIFORNIA ST
STOCKTON CA, 95202-1552, US
Phone (209) 468-8686
Fax
Business Location
1212 N CALIFORNIA ST
STOCKTON CA, 95202-1552, US
Phone (209) 468-8686
Fax
Toxanomy
Taxonomy Code 101Y00000X
License State
License Number
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According to our database, David Glen Mordecai NPI is 1679738876, taxonomy code is 101Y00000X David Glen Mordecai physically located at 1212 N California St, Stockton CA, 95202-1552. NPI Number David Glen Mordecai has the Individual type.

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1679738876 NPI number is provided on an as is basis without warranty of any kind. 1679738876 is maintained by the National Plan & Provider Enumeration System. The contents of David Glen Mordecai are for informational purposes only.