| Anka Priscilla Lane | |
|
9555 Priscilla Ln Stockton CA 95212 | |
| (209) 309-4575 | |
| (209) 337-2117 |
| Full Name | Anka Priscilla Lane |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9555 Priscilla Ln, Stockton, California |
| Authorized Official Name and Position | Stephen Hahn-smith (VP OF QM) |
| Authorized Official Contact | 9254296437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anka Priscilla Lane 3480 Buskirk Ave Ste 300 Concord CA 94523-4343 Ph: (925) 825-4700 | Anka Priscilla Lane 9555 Priscilla Ln Stockton CA 95212 Ph: (209) 309-4575 |
| NPI Number | 1316494339 |
|---|---|
| Provider Enumeration Date | 09/07/2016 |
| Last Update Date | 07/03/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316494339 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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