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Organization
ADVANCED HOME WOUND CARE INC.
Active
Organization
ADVANCED HOME WOUND CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA BOYD STAUFFER DPM (OWNER)
(310) 944-1912
Entity
Organization
Contact information
Practice address
4223 YACHT HARBOR DR, STOCKTON, CA 95204-1123
(310) 944-1912
Mailing address
4223 YACHT HARBOR DR, STOCKTON, CA 95204-1123
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
261QP1100X
Podiatric Clinic/Center
—
NULL
Other
Enumeration date
02/28/2022
Last updated
02/28/2022
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