Individual
CECILIA FERREYRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFM
Contact information
Practice address
3215 N CALIFORNIA ST, STOCKTON, CA 95204-3433
(209) 942-4166
Mailing address
3215 NORTH CALIFORNIA, STOCKTON, CA 95204-0000
(209) 942-4166
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CFM02145
ABC
CA
Enumeration date
12/15/2010
Last updated
12/15/2010
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