Individual
CYNTHIA CASLEY STURDIVANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4601 DALE RD, ANESTHESIA OFFICE 2ND FLOOR, MODESTO, CA 95356-9718
(209) 366-4175
Mailing address
1271 STONEBRIDGE DR, LODI, CA 95242-9178
(209) 366-4175
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A100017
CA
Other
Enumeration date
07/24/2007
Last updated
01/10/2022
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