Organization
WEST COAST ORTHOTIC AND PROSTHETIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER CREE (CONTRACT CORDINATOR)
(209) 845-8231
Entity
Organization
Contact information
Practice address
3215 N CALIFORNIA ST, STOCKTON, CA 95204-3433
(209) 942-4166
(209) 942-4168
Mailing address
3215 N CALIFORNIA ST, STOCKTON, CA 95204-3433
(209) 942-4166
(209) 942-4168
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
09/13/2006
Last updated
08/22/2020
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