Individual
AIMEE RENE CARDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RADT
Contact information
Practice address
330 S FAIRMONT AVE, LODI, CA 95240-3958
(209) 744-9909
(209) 744-9910
Mailing address
3131 INDEPENDENCE DR, LIVERMORE, CA 94551-7595
(888) 474-1601
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
R1506460523
CA
172V00000X
Community Health Worker
Primary
R1506460523
CA
172V00000X
Community Health Worker
—
CA
Other
Enumeration date
05/12/2023
Last updated
02/14/2024
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