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Individual

CHERISH ANGELIC OBENZA CANDA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
5910 PACIFIC AVE, STOCKTON, CA 95207-4704
(209) 475-1000
Mailing address
4538 PEBBLE BEACH DR, STOCKTON, CA 95219-1909
(209) 267-4419
(209) 476-8747

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 24493
CA

Other

Enumeration date
08/05/2006
Last updated
04/22/2015
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