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Individual

JESSY JOSEPH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1601 CUMMINS DR STE D, MODESTO, CA 95358-6411
(510) 900-3125
Mailing address
1601 CUMMINS DR STE D, MODESTO, CA 95358-6411
(510) 900-3125

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A171516
CA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
07/18/2014
Last updated
08/26/2021
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