Individual
MRS. DONNA JEAN COMBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1212 N CALIFORNIA ST, STOCKTON, CA 95202-1552
(209) 953-3490
(209) 953-3499
Mailing address
5235 GROUSE RUN DR, STOCKTON, CA 95207-5334
(209) 477-0118
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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