Search › California › 171400000X
Issima Caldwell
NPI 1770391120 · on the registry since 2024 · sole proprietor
Practice
- Address
- 1005 E Pescadero Ave # Site211
Tracy, CA 95304 - Phone
- (209) 767-2895
Registry record
- Primary taxonomy
- 171400000X
171400000X
- Also registered as
- 174H00000X
224Y00000X - Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-01-12
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