Organization · Type 2 NPI

San Joaquin County Public Health Waiver

Public Health or Welfare Agency · Stockton, CA

NPI number 1215070636 Active

Practice location

1601 E Hazelton Ave
Stockton, CA 95205-6229

Fax (209) 468-3072

Mailing address

PO Box 2009
Stockton, CA 95201-2009

Specialties and licenses

TaxonomyCodeLicense
Public Health or Welfare Agency Primary 251K00000XNone listed

Public Health or Welfare Agency: Definition to come...

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About NPI 1215070636

San Joaquin County Public Health Waiver's National Provider Identifier is 1215070636, issued on Feb 15, 2007. The primary taxonomy on file is Public Health or Welfare Agency (251K00000X), and the practice location is in Stockton, CA. The record was last updated on Aug 22, 2020.