“Prevention Professional” (Stockton, CA)
Location: Stockton, CA
Taxonomy: Prevention Professional.
A provider can have more than one taxonomy code. It is critical to register all applicable
taxonomy codes with NPPES and to use the correct taxonomy code to represent the
specific specialty when filing claims. This will assist in more accurate and timely
processing of claims.
1265909055
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LISA
JORDAN
Practice Location Address:
430 N PILGRIM ST
STOCKTON CA
95205-4428
Practice Phone:
209-466-0853