Organization
AGAPEWELLNESS GOLDEN SOUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA JUNE WHITE-WILLIAMS (ELDERCARE MANAGER)
(209) 271-4093
Entity
Organization
Contact information
Practice address
3425 CARLY DR, 3425 CARLY DR, STOCKTON, CA 95205-2541
(209) 271-4093
(209) 946-0592
Mailing address
3425 CARLY DR, 4325 CARLY DR, STOCKTON, CA 95205-2541
(209) 271-4093
(209) 946-0592
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
12/10/2008
Last updated
12/10/2008
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