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Organization
COUNTY OF STANISLAUS HEALTH SERVICES AGENCY
Active
Organization
COUNTY OF STANISLAUS HEALTH SERVICES AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARYANN LEE (MANAGING DIRECTOR)
(209) 558-7163
Entity
Organization
Contact information
Practice address
830 SCENIC DR, MODESTO, CA 95350-6131
(209) 558-7163
(209) 558-8320
Mailing address
830 SCENIC DR, MODESTO, CA 95350-6131
(209) 558-7163
(209) 558-8320
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
365355
CA
Other
Enumeration date
11/04/2009
Last updated
11/04/2009
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