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Elijah Bass
NPI 1902617707 · on the registry since 2025
Practice
- Address
- 3120 W March Ln Ste 2d
Stockton, CA 95219 - Phone
- (209) 688-4023
- Clinicians at this address
- 30
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-01-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California