Individual
ALEXIS LUCILIA BARBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
451 MARENGO AVE, STOCKTON, CA 95207-3811
(209) 513-0937
Mailing address
451 MARENGO AVE, STOCKTON, CA 95207-3811
(209) 513-0937
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
565300
CA
Other
Enumeration date
04/26/2023
Last updated
04/26/2023
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