| NPI | 1518166594 |
|---|---|
| Doing Business As | STOCKTON KIDNEY CLINIC |
| Entity Type | Organization |
| Authorized Contact | JOSEPH MOYA Corporate Secretary 209-472-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: CA 261QE0700X) |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2007-07-11 |