Individual
MS. MARY ROSE LEGASPI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1212 N CALIFORNIA ST, STOCKTON, CA 95202-1552
(209) 468-8660
Mailing address
1212 N CALIFORNIA ST, STOCKTON, CA 95202-1552
(209) 468-8660
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
PT34337
CA
Other
Enumeration date
03/28/2009
Last updated
03/28/2009
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