institution
Wellbound Of Stockton Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Stockton, California
NPI 1144260811

Wellbound Of Stockton Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in San Jose, CA and is specialized in End-Stage Renal Disease (ESRD) Treatment. Wellbound Of Stockton Llc practices in Stockton, CA. The NPI Number for Wellbound Of Stockton Llc is 1144260811 and holds a License No. (California).

The current practice location address for Wellbound Of Stockton Llc is 3555 Deer Park Dr, Stockton, CA and can be reached out via phone at 209-955-5630 and via fax at 209-955-5635. You can also correspond with Wellbound Of Stockton Llc through the mailing address at 300 SANTANA ROW, SAN JOSE, CA - 95128-2423 (mailing address contact number: 209-955-5630).

Location: 3555 Deer Park Dr, Stockton, CA, 95128-2423
institution
Provider Profile Details
NPI Number
1144260811
Provider Name
Wellbound Of Stockton Llc
Credential
Provider Entity Type
Organization
Address
3555 Deer Park Dr, Stockton, CA, 95128-2423
Phone Number
209-955-5630
Fax Number
209-955-5635
Provider Enumeration Date
06/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CDC52555F 05 CA
institution
Provider Business Practice Location Address Details
Address
3555 Deer Park Dr
City
State
Zip
95219-2306
Phone Number
209-955-5630
Fax Number
209-955-5635
person
Provider Business Mailing Address Details
Address
300 Santana Row
City
State
Zip
95128-2423
Phone Number
209-955-5630
Fax Number
650-625-6007
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
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Definition
Definition to come...
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