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Satellite Dialysis Of Tracy Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Tracy, California
NPI 1457510919

Satellite Dialysis Of Tracy 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. Satellite Dialysis Of Tracy Llc practices in Tracy, CA. The NPI Number for Satellite Dialysis Of Tracy Llc is 1457510919 and holds a License No. (California).

The current practice location address for Satellite Dialysis Of Tracy Llc is 2156 W Grant Line Rd, Tracy, CA and can be reached out via phone at 209-832-4899 and via fax at 209-832-4893.

Location: 2156 W Grant Line Rd, Tracy, CA, 95128-2423
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1457510919
Provider Name
Satellite Dialysis Of Tracy Llc
Credential
Provider Entity Type
Organization
Address
2156 W Grant Line Rd, Tracy, CA, 95128-2423
Phone Number
209-832-4899
Fax Number
209-832-4893
Provider Enumeration Date
06/09/2008
Last Update Date
05/18/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
550001187 01 CA STATE OF CALIFORNIA
1457510919 05 CA
institution
Provider Business Practice Location Address Details
Address
2156 W Grant Line Rd
City
Tracy
State
California
Zip
95377-7338
Phone Number
209-832-4899
Fax Number
209-832-4893
person
Provider Business Mailing Address Details
Address
2156 W Grant Line Rd
City
Tracy
State
California
Zip
95377-7338
Phone Number
209-832-4899
Fax Number
209-832-4893
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.
()
Definition
Definition to come...
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