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Organization
PUBLIC HEALTH SERVICES
Active
Organization
PUBLIC HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FLOREIDA QUIAOIT (PROGRAM MANAGER)
(209) 468-3892
Entity
Organization
Contact information
Practice address
1601 E. HAZELTON AVE., STOCKTON, CA 95201-2009
(209) 468-3892
Mailing address
1601 E. HAZELTON AVE., STOCKTON, CA 95201
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
377440
CA
Other
Enumeration date
06/26/2014
Last updated
06/26/2014
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