Individual
ROSEMARIE A MCCLOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1212 N CALIFORNIA ST, STOCKTON, CA 95202-1552
(209) 513-5975
Mailing address
1652 OLD BRIDGE WAY, STOCKTON, CA 95204-1769
(209) 513-5975
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
CA
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
—
CA
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
04/22/2024
Last updated
10/28/2025
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