Individual
JOHN ZACHARIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
522 E GRANGER AVE, MODESTO, CA 95350-4545
(209) 558-4610
Mailing address
500 N 9TH ST, MODESTO, CA 95350-5814
(209) 558-4610
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-MQSNDC
CA
Other
Enumeration date
04/22/2019
Last updated
08/23/2023
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