Individual
AYANNA AIJANEE STOECKL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 E HAZELTON AVE, STOCKTON, CA 95205-6229
(209) 468-6411
Mailing address
PO BOX 2009, STOCKTON, CA 95201-2009
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/04/2023
Last updated
01/04/2023
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