Individual
ANNE CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
302 CHERRY LN STE 101, MANTECA, CA 95337-4311
(209) 647-6200
Mailing address
302 CHERRY LN STE 101, MANTECA, CA 95337-4311
(209) 647-6200
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
CA
Other
Enumeration date
09/10/2024
Last updated
09/19/2024
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