Individual
KRISTINE C MAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
701 E CHANNEL ST, STOCKTON, CA 95202-2628
(209) 944-4700
(209) 944-4795
Mailing address
PO BOX 779, STOCKTON, CA 95201-0779
(209) 373-2800
(209) 373-2873
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
603819
CA
363L00000X
Nurse Practitioner
Primary
13619
CA
Other
Enumeration date
10/23/2006
Last updated
03/11/2010
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