NPI 1083092480

Margie Macale

Practitioner Driver Stockton, CA

Practice location

Address: 10955 Tramore Ln, Stockton, CA 95209-4259
Phone: (209) 915-3977

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence C5132547 (CA)

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Registry record

NPI: 1083092480
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 May 2015
Record last updated: 18 May 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.