Individual
KAREN LYNETTE EDMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1117 S GRANT ST, STOCKTON, CA 95206-1626
(925) 579-4018
Mailing address
130 W FLORA ST, STOCKTON, CA 95202-1636
(925) 640-5426
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
05/05/2025
Last updated
05/07/2025
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