Individual
DAISY LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1525 N EL DORADO ST STE 1, STOCKTON, CA 95204-5932
(209) 452-8368
Mailing address
1525 N EL DORADO ST STE 1, STOCKTON, CA 95204-5932
(209) 452-8368
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A17788
CA
Other
Enumeration date
05/12/2018
Last updated
07/13/2021
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