LINCOLN DOUGLAS ELLIS

STOCKTON, CA
NPI1962081539
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Additional Taxonomies174400000X Specialist
Enumeration Date2021-04-02
Last Update Date2023-12-12
Business Address
Mr. LINCOLN DOUGLAS ELLIS
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-922-3254
Mailing Address
Mr. LINCOLN DOUGLAS ELLIS
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-922-3254
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