Individual
STEPHANIE K LAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
55 S CENTRAL AVE, TRACY, CA 95376-4683
(209) 923-3340
Mailing address
55 S CENTRAL AVE, TRACY, CA 95376-4683
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
00903432
CA
Other
Enumeration date
10/07/2025
Last updated
10/07/2025
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