Individual
JULIA ROSE GARDEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1904 RICHLAND AVE, CERES, CA 95307-4562
(209) 541-2121
Mailing address
1513 MADISON AVE, TRACY, CA 95376-2901
(209) 229-0133
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
01/24/2018
Last updated
01/24/2018
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