Individual
TERESA I LIMJOCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4301 NORTHSTAR WAY, MODESTO, CA 95356-9262
(209) 577-1200
(209) 577-6517
Mailing address
PO BOX 576768, MODESTO, CA 95357-6768
(209) 577-1200
(209) 577-6517
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
19698
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2130394
—
OH
05
—
64014640
—
KY
05
—
6600029000
—
WV
Enumeration date
03/20/2006
Last updated
10/13/2020
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