Tuolumne County Ccs - Soulsbyville Mtu

NPI 1457485617

Information of Tuolumne County Ccs - Soulsbyville Mtu

The NPI 1457485617 is an Organization type. NPI No 1457485617 belongs to Tuolumne County Ccs - Soulsbyville Mtu. Tuolumne County Ccs - Soulsbyville Mtu specializes in Rehabilitation. is practising at 20300 Soulsbyville Rd, Soulsbyville, California 95372. You can also contact him via phone number (209) 532-5198.

Practice address located

  • 20300 Soulsbyville Rd
  • Soulsbyville, California 95372
  • (209) 532-5198
  • (209) 532-5198

Mailling address located

  • 2 S Green St
  • Sonora, California 95370
  • Not available
  • Not available
NPI No 1457485617
Primary Taxonomy
Authorized Official
Specialty of the provider
PrimaryTaxonomy CodeClassificationLicense NumberLicense State
Yes261QR0400XRehabilitationn/an/a
Identifier for this provider
StateIdentifierTypeIssuer
CACCS00120FMedicaidn/a
Similar NPIs No