Individual
MARIGOLD JABBOUR ARDRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2625 COFFEE RD, STE S, MODESTO, CA 95355-2050
(208) 577-1200
(209) 577-6517
Mailing address
2625 COFFEE RD, STE S, MODESTO, CA 95355-2050
(208) 577-1200
(209) 577-6517
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
Primary
G66626
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
G66626
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G66626
LICENSE
CA
Enumeration date
06/16/2005
Last updated
09/11/2025
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