AGNES HELEN MADAVE

STOCKTON, CA
NPI1104948595
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy167G00000X Licensed Psychiatric Technician
(Licence: CA  pt28610)
Enumeration Date2007-04-04
Last Update Date2007-07-08
Business Address
Mrs. AGNES HELEN MADAVE psych tech
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-8880
Mailing Address
Mrs. AGNES HELEN MADAVE psych tech
1212 N. CALIFORNIA
STOCKTON, CA 95202
Phone number: 209-468-8880
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