Individual
ESMERALDA GARZA SANDOVAL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
421 E MORRIS AVE, MODESTO, CA 95354-0437
(209) 558-7494
(209) 558-8918
Mailing address
421 E MORRIS AVE, MODESTO, CA 95354-0437
(209) 558-7494
(209) 558-8918
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
N5840848
CA
Other
Enumeration date
04/23/2019
Last updated
04/23/2019
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