Search › California › 101Y00000X
Jackie Koudelka
NPI 1962904821 · on the registry since 2018
Practice
- Address
- 6 S El Dorado St Ste 510
Stockton, CA 95202 - Phone
- (209) 623-1411
- Clinicians at this address
- 24
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Sex
- Female
- Record last updated
- 2018-03-06
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