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NPI Code Detail

MEDICARE: JULIUS MARVELL SWEET

MEDICARE: JULIUS MARVELL SWEET
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1175T00000XPeer Specialist

General Provider Information

NPI Number : 1528616521
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIUS MARVELL SWEET
Provider Business Mailing Address
First Line : 2105 W MARCH LN STE 2
Second Line :
City : STOCKTON
State : CA
Zip : 95207-6422
Country : US
Telephone Number : 209-290-3931
Fax Number :
Provider Business Practice Location Address
First Line : 2105 W MARCH LN STE 2
Second Line :
City : STOCKTON
State : CA
Zip : 95207-6422
Country : US
Telephone Number : 209-290-3931
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/03/2019
Last Update Date : 06/06/2025

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Directions to “ JULIUS MARVELL SWEET ” Practice Location

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