Individual
DOLORES M BALVERDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
435 ALICE ST, STOCKTON, CA 95205-4714
(209) 603-7379
Mailing address
435 ALICE ST, STOCKTON, CA 95205-4714
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
CA
Other
Enumeration date
10/23/2019
Last updated
10/23/2019
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