WILLIE DEAN
Managed Care Organizations at Raube Ct, Modesto, CA

License number
California VN128313
Category
Managed Care Organizations
Type
Exclusive Provider Organization
Owner
Name: WILLIE RUTH DEAN
Title: LVN
Phone: (209) 688-7720
Address
Address 2
1012 Raube Ct, Modesto, CA 95351
5288 Barbados Cir, Stockton, CA 95210
National Provider ID: 1831309848
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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