Organization
JORI ANDRUS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JORI ANDRUS LEIGH (GRADUATE COORDINATOR)
(209) 663-7734
Entity
Organization
Contact information
Practice address
3601 PACIFIC AVE, STOCKTON, CA 95211-0110
(209) 946-2132
Mailing address
19818 N GOLF CLUB RD, WOODBRIDGE, CA 95258-9246
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
04/09/2007
Last updated
08/22/2020
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