Organization
UPLIFT THE HUMAN SPIRIT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN HER (FOUNDER/EXECUTIVE DIRECTOR)
(209) 684-3182
Entity
Organization
Contact information
Practice address
1743 GRAND CANAL BLVD STE 17, STOCKTON, CA 95207-8108
(209) 451-0342
Mailing address
PO BOX 692741, STOCKTON, CA 95269-2741
(209) 684-3182
Taxonomy
Speciality
Code
Description
License number
State
251X00000X
Supports Brokerage Agency
Primary
—
—
Other
Enumeration date
11/14/2024
Last updated
11/14/2024
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