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Tomaiah Simon

Case Manager/Care Coordinator in Stockton, CA. Individual provider (NPI-1).

NPI number1760190664
StatusActive
Last updated in NPPESNov 16, 2022

Details

NPI
1760190664
Entity type
Individual (NPI-1)
Name
Tomaiah Simon
Sex
Female
Sole proprietor
No
Enumeration date
Nov 9, 2022
Certification date
Nov 16, 2022
Last updated
Nov 16, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

7912 West Ln Ste 221
Stockton, CA 95210-3159

Phone 209-623-6986

Mailing address

1907 Farley Dr
Stockton, CA 95210-5655

Phone 510-331-1220

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