Most Relevant Information
Provider Data
| NPI Number: | 1003314048 |
| Provider Name: | JULIA ROSE GARDEA |
| Entity Type: | Individual |
| Taxonomy Code: | 374700000X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/24/2018 |
| Last Updated: | 01/24/2018 |
Provider Practice Location
1904 RICHLAND AVE
CERES
CA
953074562
Practice Location Phone/Fax
| Phone: | 2095412121 |
| Fax: |
Provider Mailing Location
1513 MADISON AVE
TRACY
CA
953762901
Provider Mailing Phone/Fax
| Phone: | 2092290133 |
| Fax: |