Organization
ASIAN PACIFIC SELF-DEVELOPMENT AND RESIDENTIAL ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SOVANNA KOEURT (EXECUTIVE DIRECTOR)
(209) 513-7618
Entity
Organization
Contact information
Practice address
3830 ALVARADO AVE STE C, STOCKTON, CA 95204-2350
(209) 944-1700
(209) 941-9516
Mailing address
3830 ALVARADO AVE STE C, STOCKTON, CA 95204-2350
(209) 513-7618
(209) 941-9516
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/17/2023
Last updated
04/17/2023
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