Individual
ANITA XUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2151 W GRANT LINE RD, TRACY, CA 95377-7309
(209) 832-0535
Mailing address
600 COFFEE RD, MODESTO, CA 95355-4201
(209) 521-6097
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A142232
CA
Other
Enumeration date
03/27/2012
Last updated
09/06/2016
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