MIRIAM CLAIRE LAKES

STOCKTON, CA
NPI1871164822
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CA  95017948)
Enumeration Date2021-07-09
Last Update Date2022-10-31
Business Address
MIRIAM CLAIRE LAKES NP
747 CHANNEL STREET
STOCKTON, CA 95202
Phone number: 209-944-4700
Mailing Address
MIRIAM CLAIRE LAKES NP
1011 S TUXEDO AVE
STOCKTON, CA 95204-6219
Phone number: 415-686-2045
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