SearchCalifornia261QM2800X

Da Her

NPI 1285797514 · on the registry since 2006 · sole proprietor

Practice

Address
1111 N El Dorado St
Stockton, CA 95202
Phone
(209) 938-0228
Fax
(209) 938-0281
Organisation at this address
Medmark Treatment Centers - Stockton, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
45

Registry record

Primary taxonomy
261QM2800X
261QM2800X
Sex
Male
Record last updated
2007-07-08

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