Individual
MR. JOHN EDWARD FIELDS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4307 INLET DR, STOCKTON, CA 95219-4992
(209) 271-1553
Mailing address
4307 INLET DR, STOCKTON, CA 95219-4992
(209) 271-1553
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
A4973804
CA
347C00000X
Private Vehicle
Primary
A4973804
CA
Other
Enumeration date
09/11/2023
Last updated
02/03/2026
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