Individual provider · Type 1 NPI
Marilyn Minor
Health Service Clinic/Center · Stockton, CA
NPI number
1184485765
Active
Practice location
2405 Manchester Ave
Stockton, CA 95204-5029
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | None listed |
Health Service Clinic/Center: Definition to come...
Another provider at this address
About NPI 1184485765
Marilyn Minor's National Provider Identifier is 1184485765, issued on Jan 19, 2024. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Stockton, CA. The record was last updated on Jan 19, 2024.