Organization
EZ SLEEP CLUB, INC.
Active
Other names
Modesto Sleep Center Diagnostic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANDREA MARIE EWERT (CEO)
(209) 523-0202
Entity
Organization
Contact information
Practice address
5039 PENTECOST DR STE D, MODESTO, CA 95356-9290
(888) 588-0202
(888) 599-0202
Mailing address
PO BOX 578104, MODESTO, CA 95357-8104
(888) 588-0202
(888) 599-0202
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
02/04/2017
Last updated
03/19/2024
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