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Individual

ANTHONY TYE TREECE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1212 N CALIFORNIA ST, STOCKTON, CA 95202-1552
(209) 623-5856
Mailing address
1212 N CALIFORNIA ST, STOCKTON, CA 95202-1552
(209) 623-5856

Taxonomy

Speciality
Code
Description
License number
State
225CA2400X
Assistive Technology Practitioner Rehabilitation Counselor
Primary

Other

Enumeration date
01/29/2019
Last updated
01/29/2019
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