-- IVORY ADANZA --
Individual Provider (NPI-1)
Active
Nurse Practitioner, Occupational Health
Provider Information
- NPI Number
1053702159- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1801 E MARCH LN STE D480, STOCKTON, CA, 952106681
- Phone
- (209) 954-3200
Specialties & Taxonomies
Nurse Practitioner, Occupational Health
Primary License: CA #95001966