Individual
VADA HENRIQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
306 E MAIN ST, STOCKTON, CA 95202-2908
(209) 478-4554
Mailing address
306 E MAIN ST STE 300, STOCKTON, CA 95202-2908
Taxonomy
Speciality
Code
Description
License number
State
2470A2800X
Assistant Health Information Record Technician
Primary
—
—
Other
Enumeration date
01/09/2020
Last updated
09/22/2020
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