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Physicians Pathology Blood Banking & Transfusion Medicine

Provider NPI: 1669694766

Provider Information:
Gender: F
Not Sole Proprietor

Practice Location:
2291 W MARCH LN SUITE 179E STOCKTON, CA 95207-6652 US
Tel: 209-477-4432  Fax: 209-320-6136

Business Mailing Address:
PO BOX 77800  STOCKTON, CA 95267-1100 US
Tel: 209-477-4432  Fax: 209-320-6136

NPI Information:
NPI: 1669694766
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Blood Banking & Transfusion Medicine

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 207ZP0102X





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