NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1114083771 |   |   |   | AEGIS TREATMENT CENTERS, LLC | 7246 REMMET AVE | CANOGA PARK | CA | 913031531 |
1548317951 |   |   |   | NATIONWIDE MEDICAL GROUP, INC | 7246 REMMET AVE | CANOGA PARK | CA | 913031531 |
1104458280 | ALCANTARA | KEN | MORALES |   | 7246 REMMET AVE | CANOGA PARK | CA | 913031531 |
1669612826 | BARAJAS | LUCIA |   |   | 8626 LOWER SACRAMENTO RD STE 41 | STOCKTON | CA | 952101835 |
1689059388 | DUENAS | STEPHANIE | ALFARO |   | 8626 LOWER SACRAMENTO RD | STOCKTON | CA | 952101835 |
1003185273 | ELLIS-WHITE | PRISCILLA |   |   | 1779 ERICKSON CIR | STOCKTON | CA | 952066314 |
1992994230 | FOSTER | AUTUMN | LYNN |   | 8626 LOWER SACRAMENTO RD | STOCKTON | CA | 952101835 |
1396124194 | GONZALEZ | DENISE |   |   | 1576 SOPHIE LN | ESCALON | CA | 953208406 |
1548423700 | MANTO | CARMEL |   |   | 8686 LOWER SACRAMENTO ROAD | STOCKTON | CA | 95210 |
1790965911 | STADTNER | BARRE | LOCHINVAR |   | 8626 LOWER SACRAMENTO RD | STOCKTON | CA | 952101835 |
1437404068 | TERRA | EVELYN |   |   | 15574 5TH ST | LATHROP | CA | 953309725 |
1538414081 | WHELEN | MEGAN |   |   | 8626 LOWER SACRAMENTO RD | STOCKTON | CA | 952101835 |