Individual
JACQUELINE MALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
302 CHERRY LN, MANTECA, CA 95337-4311
(209) 255-7304
Mailing address
1939 SANTA FE DR, STOCKTON, CA 95209
(209) 255-7304
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/08/2021
Last updated
01/12/2024
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