Individual
JESUS DAVID COVARRUBIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
831 W LOCKEFORD ST, LODI, CA 95240-1633
(209) 331-7451
Mailing address
831 W LOCKEFORD ST, LODI, CA 95240-1633
(209) 331-7451
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
230292658
CA
Other
Enumeration date
07/26/2024
Last updated
07/26/2024
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