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Octavia Ivy
NPI 1326462789 · on the registry since 2014
Practice
- Address
- 5405 N Pershing Ave
C 1
Stockton, CA 95207 - Phone
- (209) 476-1959
- Clinicians at this address
- 14
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Sex
- Female
- Record last updated
- 2014-02-05
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