Individual
AIDE MARISCAL SANCHEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16988 S HARLAN RD, LATHROP, CA 95330-8738
(209) 953-0223
Mailing address
PO BOX 2009, STOCKTON, CA 95201-2009
(209) 953-0223
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/23/2023
Last updated
01/23/2023
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