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NPI Code Detail

MEDICARE: MAYRA J ADAME

MEDICARE: MAYRA J ADAME
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
1101YS0200XSchool Counselor

General Provider Information

NPI Number : 1700740834
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAYRA J ADAME
Provider Business Mailing Address
First Line : 1725 LAS VEGAS ST
Second Line :
City : MODESTO
State : CA
Zip : 95358-5500
Country : US
Telephone Number : 209-574-1794
Fax Number :
Provider Business Practice Location Address
First Line : 1725 LAS VEGAS ST
Second Line :
City : MODESTO
State : CA
Zip : 95358-5500
Country : US
Telephone Number : 209-574-1794
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2025
Last Update Date : 12/12/2025

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Directions to “ MAYRA J ADAME ” Practice Location

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