Individual
CHYNNA LEAMARIE DURAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
251 E HACKETT RD, MODESTO, CA 95358-9800
(209) 588-2352
Mailing address
251 E HACKETT RD, MODESTO, CA 95358-9800
(209) 558-3647
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
09/27/2019
Last updated
05/21/2025
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