Individual
DINA LAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4545 GEORGETOWN PL, STOCKTON, CA 95207-6215
(209) 200-7076
Mailing address
4545 GEORGETOWN PL STE A3, STOCKTON, CA 95207-6228
(209) 986-6821
(209) 888-5816
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
09/01/2015
Last updated
04/09/2025
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