NPI 1871423293

Anita Marie Ydrogo

Practitioner Prevention Professional Stockton, CA

Practice location

Address: 201 N Stanislaus St, Stockton, CA 95202-2949
Phone: (350) 231-3856
Mailing address: 6109 Mustang Pl, Stockton, CA 95210-3673

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence 70004352735 (CA)

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Registry record

NPI: 1871423293
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 May 2026
Record last updated: 19 May 2026

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.