County Of Stanislaus

NPI 1093910275 - Clinic/Center - 261Q00000X

NPI Details
NPI 1093910275
Enumeration Date 06/18/2007
Last Updated 03/17/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MARY ANN MARY ANN
Position MANAGING DIRECTOR
Phone (209) 558-5312
Fax
Practice Location
1209 WOODROW AVE
STE. B-10
MODESTO CA, 95350-1288, US
Phone (209) 558-5312
Fax
Business Location
1209 WOODROW AVE
STE. B-10
MODESTO CA, 95350-1288, US
Phone (209) 558-5312
Fax
Toxanomy
Taxonomy Code 261Q00000X
License State
License Number
Remove 1093910275 NPI Number
 

According to our database, County Of Stanislaus NPI is 1093910275, taxonomy code is 261Q00000X County Of Stanislaus physically located at 1209 Woodrow Ave, Modesto CA, 95350-1288. NPI Number 1033115704 has the healthcare provider type.

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1093910275 NPI number is provided on an as is basis without warranty of any kind. 1093910275 is maintained by the National Plan & Provider Enumeration System. The contents of County Of Stanislaus are for informational purposes only.