United Cerebral Palsy Of San Joaquin, Calaveras, Amador Inc

NPI 1659634814 - Early Intervention Provider Agency - 252Y00000X

NPI Details
NPI 1659634814
Enumeration Date 06/21/2012
Last Updated 06/21/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name DEBBIE DEBBIE
Position CLINICAL & FAMILY SERVICES DIRECTOR
Phone (209) 751-3106
Fax (209) 751-3125
Practice Location
333 W BEN HOLT DR
STOCKTON CA, 95207-3906, US
Phone (209) 751-3106
Fax (209) 751-3125
Business Location
333 W BEN HOLT DR
STOCKTON CA, 95207-3906, US
Phone (209) 751-3106
Fax (209) 751-3125
Toxanomy
Taxonomy Code 252Y00000X
License State California
License Number =========
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According to our database, United Cerebral Palsy Of San Joaquin, Calaveras, Amador Inc NPI is 1659634814, taxonomy code is 252Y00000X and license number is =========, license state is located at California. United Cerebral Palsy Of San Joaquin, Calaveras, Amador Inc physically located at 333 W Ben Holt Dr, Stockton CA, 95207-3906. NPI Number 1033115704 has the healthcare provider type.

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1659634814 NPI number is provided on an as is basis without warranty of any kind. 1659634814 is maintained by the National Plan & Provider Enumeration System. The contents of United Cerebral Palsy Of San Joaquin, Calaveras, Amador Inc are for informational purposes only.