Organization
EZRA MEDICAL REHAB & RECOVERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRISTAN MIRELES (CEO)
(716) 671-1945
Entity
Organization
Contact information
Practice address
429 MURILLO DR, STOCKTON, CA 95207-2226
(716) 371-1945
Mailing address
429 MURILLO DR, STOCKTON, CA 95207-2226
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/04/2025
Last updated
09/04/2025
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