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Individual

MR. MICHAEL THEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
1608 TULLY RD, MODESTO, CA 95350-4031
(866) 240-8517
(209) 497-8337
Mailing address
PO BOX 578688, MODESTO, CA 95357-8688
(866) 240-8517
(209) 497-8337

Taxonomy

Speciality
Code
Description
License number
State
163WP0000X
Pain Management Registered Nurse
NP95010524
CA
363LF0000X
Family Nurse Practitioner
NP95010524
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NP95010524
CA

Other

Enumeration date
11/30/2018
Last updated
10/08/2024
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