OCTAVIA IVY

STOCKTON, CA
NPI1326462789
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2014-02-05
Last Update Date2014-02-05
Business Address
-- OCTAVIA IVY
5405 N PERSHING AVE C 1
STOCKTON, CA 95207-5451
Phone number: 209-476-1959
Mailing Address
-- OCTAVIA IVY
5405 N PERSHING AVE C 1
STOCKTON, CA 95207-5451
Phone number:
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