JESMOND RIDGE MEDICAL SERVICES A MEDICAL CORPORATION

STOCKTON, CA
NPI1194251595
Entity TypeOrganization
Authorized ContactKATHLEEN KONDAS
VP Provider Enrollment
973-251-1132
Organization Subpart ?No
Primary Taxonomy207P00000X Emergency Medicine
Enumeration Date2017-05-04
Last Update Date2019-10-23
Business Address
JESMOND RIDGE MEDICAL SERVICES A MEDICAL CORPORATION
525 W ACACLA ST
STOCKTON, CA 95203
Phone number: 469-401-2386
Mailing Address
JESMOND RIDGE MEDICAL SERVICES A MEDICAL CORPORATION
13737 NOEL RD 1600
DALLAS, TX 75240-1331
Phone number: 954-838-2371