Individual
LAURIE MAULDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4335 N STAR WAY STE A, MODESTO, CA 95356-8628
(209) 342-5125
(209) 342-5128
Mailing address
4335 N STAR WAY STE A, MODESTO, CA 95356-8628
(209) 342-5125
(209) 342-5128
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
95037638
CA
Other
Enumeration date
11/21/2025
Last updated
11/21/2025
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