Most Relevant Information
Provider Data
| NPI Number: | 1003057175 |
| Provider Name: | DENISE M THOMASON |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/18/2009 |
| Last Updated: | 03/18/2009 |
Provider Practice Location
500 N 9TH ST
SUITE B
MODESTO
CA
953505814
Practice Location Phone/Fax
| Phone: | 2093411824 |
| Fax: | 2095231296 |
Provider Mailing Location
904 BOWEN AVE
MODESTO
CA
953503049
Provider Mailing Phone/Fax
| Phone: | 2094091779 |
| Fax: | 2095431296 |