Individual
MS. LYNNSEY LA RAE HOWARD COLOSSIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 11TH ST, MODESTO, CA 95354-2348
(209) 380-9580
Mailing address
801 11TH ST, MODESTO, CA 95354-2348
(209) 380-9580
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
372600000X
Adult Companion
Primary
—
—
374700000X
Technician
—
—
Other
Enumeration date
05/13/2019
Last updated
05/14/2025
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