Esperanza | |
1803 W March Ln Ste A, C-d Stockton CA 95207 | |
(209) 636-5353 | |
Not Available |
Full Name | Esperanza |
---|---|
Speciality | Community/behavioral Health |
Location | 1803 W March Ln Ste A, C-d, Stockton, California |
Authorized Official Name and Position | Al Rowlett (CEO) |
Authorized Official Contact | 9163648395 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Esperanza 1803 W March Ln Ste A, C-d Stockton CA 95207-6414 Ph: () - | Esperanza 1803 W March Ln Ste A, C-d Stockton CA 95207 Ph: (209) 636-5353 |
NPI Number | 1497218861 |
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Provider Enumeration Date | 04/11/2019 |
Last Update Date | 03/02/2023 |
Certification Date | 03/02/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497218861 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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