Individual
KATHRYN LEE WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1138 COLLINS ST, MANTECA, CA 95337-8641
(209) 957-8603
(209) 951-0448
Mailing address
102 W BIANCHI RD, STOCKTON, CA 95207-7132
(209) 957-8603
(209) 951-0448
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35356
CA
Other
Enumeration date
10/19/2010
Last updated
10/19/2010
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