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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.

Location: 3555 Deer Park Dr, Stockton, CA, 95128-2423
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
Stockton
State
California
Zip
95219-2306
Phone Number
209-955-5630
Fax Number
209-955-5635
person
Provider Business Mailing Address Details
Address
3555 Deer Park Dr
City
Stockton
State
California
Zip
95219-2306
Phone Number
209-955-5630
Fax Number
209-955-5635
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
261QE0700X
License No.
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Definition
Definition to come...
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