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Michelle Street, PAC

NPI 1245416817 · on the registry since 2008 · sole proprietor

Practice

Address
23,500 Kasson Rd
Tracy, CA 95378
Phone
(209) 835-4141

Registry record

Primary taxonomy
363AM0700X
363AM0700X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2008-01-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California