PHILLA OR

STOCKTON, CA
NPI1225989718
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
(Licence: CA  MPSS-CSRTYH)
Enumeration Date2026-02-09
Last Update Date2026-02-09
Business Address
PHILLA OR CMPSS
333 N SAN JOAQUIN ST
STOCKTON, CA 95202-2954
Phone number: 209-683-9300
Mailing Address
PHILLA OR CMPSS
246 W MAGNOLIA ST
STOCKTON, CA 95203-2538
Phone number: 209-683-9300
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