Individual
DORIS M STYPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 STROUD AVE, KINGSBURG, CA 93631-1016
(559) 897-5881
Mailing address
7675 E NEES AVE, CLOVIS, CA 93619-9023
(559) 558-6398
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA49015
CA
Other
Enumeration date
06/06/2021
Last updated
06/06/2021
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