Individual
MS. COLETTE D WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
303 DOWNEY AVE, MODESTO, CA 95354-1203
(209) 525-4943
Mailing address
303 DOWNEY AVE, MODESTO, CA 95354-1203
(209) 525-4943
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/04/2011
Last updated
11/15/2012
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