Individual
MS. JOYCELYN ANTONIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
164X00000X
Contact information
Practice address
1450 BESSIE AVE STE B, TRACY, CA 95376-3456
(209) 597-3090
Mailing address
1450 BESSIE AVE STE B, TRACY, CA 95376-3456
(209) 597-3090
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
267875
CA
Other
Enumeration date
06/22/2023
Last updated
06/22/2023
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