Individual
CARLA S JEWETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RMA
Contact information
Practice address
1117 N CALIFORNIA ST, STOCKTON, CA 95202-1537
(209) 275-5055
Mailing address
PO BOX 4127, STOCKTON, CA 95204-0127
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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