SearchCalifornia101YM0800X

Gerome Surrell

NPI 1790170827 · on the registry since 2015

Practice

Address
440 N El Dorado St
Stockton, CA 95202
Phone
(209) 888-4519
Organisation at this address
Mary Magdalene Community Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-04-06

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