Individual
ADRIAN ZAMORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1569 MICHAEL PLACE, PORTERVILLE, CA 93257
(559) 361-3436
Mailing address
7707 AUSTIN RD, STOCKTON, CA 95215-8312
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
LCS21979
CA
Other
Enumeration date
02/09/2017
Last updated
02/09/2017
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