Individual
MAXIMINO MARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 11TH ST, MODESTO, CA 95354-2356
(209) 525-6341
Mailing address
121 DOWNEY AVE, MODESTO, CA 95354-1208
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2018
Last updated
05/15/2025
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