Individual
MISS PRECIOUS BODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPSS
Contact information
Practice address
1508 KINGSLAND LN, MODESTO, CA 95356-0902
(209) 606-5522
Mailing address
1508 KINGSLAND LN, MODESTO, CA 95356-0902
(209) 606-5522
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-JASMBP
CA
Other
Enumeration date
09/24/2025
Last updated
09/24/2025
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