SearchCalifornia171M00000X

Patrice Phengdy

NPI 1689707093 · on the registry since 2007 · sole proprietor

Practice

Address
251 E Hackett Rd
Modesto, CA 95358
Phone
(209) 558-2747
Fax
(209) 558-1075
Organisation at this address
Stanislaus County
County Of Stanislaus
Stanislaus County Bhrs
Center For Human Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
29

Registry record

Primary taxonomy
171M00000X
171M00000X
Sex
Male
Record last updated
2013-08-07

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