IndividualActive
Anita Ydrogo
NPI 1871423293 · Prevention Professional · Stockton, CA
Provider details
- NPI number
- 1871423293
- Entity type
- Individual
- Primary specialty
- Prevention ProfessionalOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 70004352735 (CA)
Specialties & taxonomies
Other Service Providers
Practice location
201 N Stanislaus St
Stockton, CA 95202-2949
Phone: (350) 231-3856
Approximate (ZIP-level) locationGet directions
Mailing address
6109 Mustang Pl
Stockton, CA 95210-3673
Registry dates
- Enumerated
- 2026-05-19
- Last updated
- 2026-05-19
- Certified
- 2026-05-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.