Individual
JESICA YEPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 SCENIC DR BLDG E, MODESTO, CA 95350-6131
(209) 558-4610
Mailing address
800 SCENIC DR, MODESTO, CA 95350-6131
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/10/2025
Last updated
10/24/2025
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