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3812 Sundance Lake Ct Modesto CA 95355-7309 | |
(877) 223-7669 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Public Health, State Or Local |
Location | 3812 Sundance Lake Ct, Modesto, California |
Authorized Official Name and Position | Kasey Nicole Handwerker (ADMINISTRATOR) |
Authorized Official Contact | 8505307070 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 579702 Modesto CA 95357-9702 Ph: (877) 223-7669 | 3812 Sundance Lake Ct Modesto CA 95355-7309 Ph: (877) 223-7669 |
NPI Number | 1518644608 |
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Provider Enumeration Date | 06/29/2023 |
Last Update Date | 01/10/2025 |
Certification Date | 12/17/2024 |
Identifier | Type | State | Issuer |
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1518644608 | NPI | - | NPPES |
Golden Valley Health Centers Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1130 6th St, Modesto, CA 95354 Phone: 209-576-2845 Fax: 209-384-3966 | |
Golden Valley Health Centers Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1717 Las Vegas St, Modesto, CA 95358 Phone: 209-576-4200 Fax: 209-384-3966 | |