Alexandro Vidrio
Technician, Other in Stockton, CA. Individual provider (NPI-1).
NPI number1669938296
StatusActive
Last updated in NPPESFeb 19, 2019
Details
- NPI
- 1669938296
- Entity type
- Individual (NPI-1)
- Name
- Alexandro Vidrio
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 19, 2019
- Last updated
- Feb 19, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | – | – | Yes |
Practice location
2291 W March LnStockton, CA 95207-6652
Phone 760-498-8401
Mailing address
2291 W March LnStockton, CA 95207-6652
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