Individual
CANDY KEBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 E OAK ST STE 4, STOCKTON, CA 95202-2204
(209) 468-9631
Mailing address
900 E OAK ST STE 4, STOCKTON, CA 95202-2204
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/23/2015
Last updated
04/23/2015
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