Organization
SUASIN CANCER CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WINLOVE BONPUA SUASIN M.D. (PRESIDENT)
(209) 467-6560
Entity
Organization
Contact information
Practice address
1800 N CALIFORNIA ST, STOCKTON, CA 95204-6019
(209) 467-6560
Mailing address
4301 N STAR WAY, MODESTO, CA 95356-9262
(209) 342-2300
(209) 524-4240
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Enumeration date
09/17/2009
Last updated
09/17/2009
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