Adanza, Ivory

Adanza, Ivory is an individual health care provider with primary practice located at 1801 E March Ln Ste D480 , Stockton CA 95210-6681. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Occupational Health, which is considered as her primary health care specialty. Adanza, Ivory can be contacted via phone (209) 954-3200.

Contact Information

Primary practice address
1801 E March Ln Ste D480 Stockton CA 95210-6681
Phone: (209) 954-3200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Occupational Health 363LX0106X 95001966 California

Profile Details

NPI number 1053702159
LBN Legal business name Adanza, Ivory
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2015
Last updated Feb 10th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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