Organization
COUNTY OF STANISLAUS HEALTH SERVICES AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARYANN LEE (MANAGING DIRECTOR)
(209) 558-7163
Entity
Organization
Contact information
Practice address
830 SCENIC DR, MODESTO, CA 95350-6131
(209) 558-7163
(209) 558-8320
Mailing address
830 SCENIC DR, MODESTO, CA 95350-6131
(209) 558-7163
(209) 558-8320
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
365355
CA
Other
Enumeration date
11/04/2009
Last updated
11/04/2009
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