Individual
MS. VANNA PRASIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3830 ALVARADO AVE, SUITE C, STOCKTON, CA 95204-2330
(209) 944-1700
(209) 941-9516
Mailing address
3830 N ALVARADO AVENUE, SUITE C, STOCKTON, CA 95204-2350
(209) 944-1700
(209) 941-9516
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
05/28/2008
Last updated
05/28/2008
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