THADEO J ACEVES PA-C
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1821358375- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA-C
- Status
- Active
Contact & Location
- Address
- 1441 FLORIDA AVE, MODESTO, CA, 953504404
- Phone
- (209) 576-3525
- Fax
- (209) 576-3544
Specialties & Taxonomies
Physician Assistant
Primary License: CA #PA22255