Provider Profile
Ivy Glaze Vidad is a healthcare provider located in Stockton, CA. NPI 1700393428 identifies this record in the national registry.
Factual summary compiled by Guide.md from public records; not written by this provider.
2453 GRAND CANAL BLVD STE A
Stockton, CA 95207
Ivy Glaze Vidad is listed at 2453 Grand Canal Blvd Ste A, Stockton, CA 95207. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
The number on file is (855) 223-7123. Contact the office directly to confirm availability and scheduling.
NPI registry
Ivy Glaze Vidad's National Provider Identifier is 1700393428. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Ivy Glaze Vidad has 8+ years experience. Registered with an NPI since 2018. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.
NPI registry
Not yet. This profile is built from public federal data and has not been confirmed by Ivy Glaze Vidad. If this is you, claiming it is free.
Guide.md
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