Organization
MEDMARK1
Active
Other names
same
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROL LYNN RIVAS (COUNSELOR)
(559) 264-2700
Entity
Organization
Contact information
Practice address
1310 M ST, SAME, FRESNO, CA 93721-1808
(559) 264-2700
Mailing address
1310 M ST, SAME, FRESNO, CA 93721-1808
(559) 264-2700
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
B3084739
CA
Other
Enumeration date
03/19/2010
Last updated
03/19/2010
About Stedi
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