JACKIE T. CHAN, M.D., INC.
Ambulatory Health at Sylvan Ave, Modesto, CA

License number
California G077865
Category
Ambulatory Health
Type
Medical Specialty
License number
California G077865
Category
Ambulatory Health
Type
Pain
Owner
Name: DR. JACKIE CHAN M.D.
Title: PRESIDENT
Phone: (209) 529-4422
Address
Address
809 Sylvan Ave SUITE 400, Modesto, CA 95350
National Provider ID: 1396954921
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about JACKIE T. CHAN, M.D., INC. at bizstanding.com

JACKIE T. CHAN, M.D., INC

809 Sylvan Ave STE 400, Modesto, CA 95350

Registration:
Dec 27, 2001
State ID:
C2370531
Agent:
Jackie T Chan Md,Modesto, CA 95350 (Physical)

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