Individual
MYLA JUNE DUNNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTC
Contact information
Practice address
1501 OAKDALE RD, SUITE 301, MODESTO, CA 95355-3381
(209) 571-5071
(209) 577-1157
Mailing address
1501 OAKDALE RD, SUITE 301, MODESTO, CA 95355-3381
(209) 571-5071
(209) 577-1157
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
87-0536
CA
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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