Individual
ANTOINETTE MARIE ERNEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10411 MUIR WOODS AVE, STOCKTON, CA 95209-4104
(209) 507-9208
Mailing address
10411 MUIR WOODS AVE, STOCKTON, CA 95209-4104
(209) 507-9208
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
10/16/2023
Last updated
10/16/2023
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