Individual
MARICAR LAUREL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9063 CHIANTI CIR, STOCKTON, CA 95212-3816
(209) 688-8058
(888) 927-7518
Mailing address
9063 CHIANTI CIR, STOCKTON, CA 95212-3816
(209) 688-8058
(888) 927-7518
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
392700941
CA
Other
Enumeration date
08/28/2024
Last updated
08/28/2024
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