Individual
JOHNNY CHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2414 BRANDYWINE CT, STOCKTON, CA 95210-6752
(209) 406-4783
Mailing address
2291 W MARCH LN STE C101, STOCKTON, CA 95207-6669
(209) 954-3000
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
CA
Other
Enumeration date
08/23/2016
Last updated
09/06/2016
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