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Rob McDonald IV

Community Health Worker in Stockton, CA. Individual provider (NPI-1).

NPI number1841925385
StatusActive
Last updated in NPPESJan 4, 2024

Details

NPI
1841925385
Entity type
Individual (NPI-1)
Name
Rob McDonald IV
Sex
Male
Sole proprietor
No
Enumeration date
Jul 19, 2022
Certification date
Jan 3, 2024
Last updated
Jan 4, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker–CAYes

Practice location

2423 W March Ln Ste 200
Stockton, CA 95207-8250

Phone 209-623-1411

Mailing address

6 S El Dorado St Ste 510
Stockton, CA 95202-2804

Phone 209-623-1411

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