NINEVEH OUTREACH

NPI # 

Practice Address:

1601 Coffee Rd

Modesto, CA, 95355-2801

Practice Phone:

209-529-7346

Practice Fax:

209-529-7034

License Number:

550001116

License State:

CA

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Code:

261Q00000X