Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Marque D Modica

Individual provider Rehabilitation Practitioner · NPI 1639090061

Marque D Modica is a Rehabilitation Practitioner in Stockton, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2026
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Practice location Address checks out

4342 Blake Cir
Stockton, CA 95206-6515
Phone: (925) 766-6256
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X (CA)

Record details

NPI number1639090061
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 22, 2026
Last updated in NPPESJuly 22, 2026
Certification dateJuly 22, 2026

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