Individual
TEARRA JAQULIN SWIFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2495 W MARCH LN STE 125, STOCKTON, CA 95207-8224
(209) 465-1080
Mailing address
2495 W MARCH LN STE 125, STOCKTON, CA 95207-8224
(209) 465-1080
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/16/2022
Last updated
06/26/2025
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