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Individual

MS. BIANCA YNEZ MINA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
445 N SAN JOAQUIN ST, STOCKTON, CA 95202-2026
(209) 444-8910
(209) 444-8905
Mailing address
445 N SAN JOAQUIN ST, STOCKTON, CA 95202-2026
(209) 444-8910
(209) 444-0905

Taxonomy

Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary

Other

Enumeration date
01/04/2021
Last updated
03/26/2025
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