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Individual

DR. JANWYN LOY FUNAMURA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2320 N CALIFORNIA ST, SUITE 2, STOCKTON, CA 95204-5509
(209) 953-3705
(209) 953-3700
Mailing address
5804 E ACORN CT, STOCKTON, CA 95212-2618
(209) 931-6121
(209) 931-4486

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G35135
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
ZZZ76496Z
CA
Enumeration date
01/28/2006
Last updated
07/09/2007
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