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Individual

COTY LEE RECEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
949 N PARKWAY DR, FRESNO, CA 93728-2724
(559) 508-6030
Mailing address
949 N PARKWAY DR, FRESNO, CA 93728-2724
(559) 508-6030

Taxonomy

Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary

Other

Enumeration date
09/25/2024
Last updated
07/29/2026
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