Individual
JANE ROSIE JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1441 FLORIDA AVE, MODESTO, CA 95350-4418
(209) 576-1211
Mailing address
2409 VAN LAYDEN WAY, MODESTO, CA 95356-2455
(209) 484-2516
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95025968
CA
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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