Individual
DAMON BRIDGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1234 E ANDERSON ST # A, STOCKTON, CA 95205-6900
(209) 513-5330
Mailing address
1234 E ANDERSON ST # A, STOCKTON, CA 95205-6900
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/03/2022
Last updated
02/03/2022
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