SOVANNARY BOU

STOCKTON, CA
NPI1417223504
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy167G00000X Licensed Psychiatric Technician
(Licence: CA  PT 35993)
Enumeration Date2012-03-22
Last Update Date2012-03-22
Business Address
-- SOVANNARY BOU
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-8750
Mailing Address
-- SOVANNARY BOU
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-8750
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