Organization
ST. MARY'S DINING ROOM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETRA LINDEN (CHIEF EXECUTIVE OFFICER)
(209) 467-0703
Entity
Organization
Contact information
Practice address
545 W SONORA ST, STOCKTON, CA 95203-3329
(209) 467-0703
Mailing address
545 W SONORA ST, STOCKTON, CA 95203-3329
(209) 467-0703
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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