Individual
MARLISSA PADILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2495 W MARCH LN STE 125, STOCKTON, CA 95207-8224
(209) 465-1080
Mailing address
2495 W MARCH LN STE 125, STOCKTON, CA 95207-8224
(209) 465-1080
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-NERUJZ
CA
Other
Enumeration date
09/30/2022
Last updated
09/30/2025
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