ALICE PARK

STOCKTON, CA
NPI1891795076
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: TX  L8157)
Enumeration Date2005-07-28
Last Update Date2021-12-27
Business Address
-- ALICE PARK MD
1305 TOMMYDON ST
STOCKTON, CA 95210-3364
Phone number: 209-476-5200
Mailing Address
-- ALICE PARK MD
3749 WHISPERING CREEK CIR
STOCKTON, CA 95219-2329
Phone number: 209-952-5156
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