Organization
WILLIE DEAN
Active
Organization
WILLIE DEAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIE RUTH DEAN (LVN)
(209) 688-7720
Entity
Organization
Contact information
Practice address
1012 RAUBE CT, MODESTO, CA 95351-2417
(209) 544-9377
Mailing address
5288 BARBADOS CIR, STOCKTON, CA 95210-6605
(209) 688-7720
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
VN128313
CA
Other
Enumeration date
05/22/2007
Last updated
08/22/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up