EZEQUIEL ALCANTAR

STOCKTON, CA
NPI1578097424
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Additional Taxonomies175T00000X Peer Specialist
101Y00000X Counselor
Enumeration Date2017-04-18
Last Update Date2023-10-11
Business Address
EZEQUIEL ALCANTAR
1414 N CALIFORNIA ST
STOCKTON, CA 95202-1515
Phone number: 209-468-2385
Mailing Address
EZEQUIEL ALCANTAR
1414 N CALIFORNIA ST
STOCKTON, CA 95202-1515
Phone number: 209-468-2385
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