NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1649669979 |   |   |   | AEGIS TREATMENT CENTERS, LLC | 7246 REMMET AVE | CANOGA PARK | CA | 913031531 |
1710561378 | CHAVES | BRITTNEY | MARIE |   | 541 S HAM LN STE A | LODI | CA | 952423530 |
1497040828 | CRAZY THUNDER | CLEMENT |   |   | 541 S HAM LN STE A&B | LODI | CA | 952423530 |
1477151843 | EVANS | MACKENZIE | RICK |   | 541 S HAM LN STE A&B | LODI | CA | 952423530 |
1851840664 | GARCIA | ABEL | E |   | 441 S HAM LN STE A | LODI | CA | 952423525 |
1205305968 | LATORRACA | MICHAEL | JAMES |   | 541 S HAM LN STE A&B | LODI | CA | 952423530 |
1811037807 | METCALF | TAMARA | SUE |   | 441 S HAM LN | LODI | CA | 952423525 |
1548869050 | PITTMAN | HEATHER | LIZBETH |   | 2043 CEDAR RIDGE DR | STOCKTON | CA | 952074672 |
1932645009 | SANTACRUZ GARCIA | RICHARD |   |   | 441 S HAM LN | LODI | CA | 952423525 |
1619444700 | VAUGHN | GINGER |   |   | 1629 SUNSET AVE | STOCKTON | CA | 952053006 |
1649459546 | WHITE | KIMBERLY | ANN |   | 441 S. HAM LN | LODI | CA | 95242 |