MY PHAN

STOCKTON, CA
NPI1427422344
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy167G00000X Licensed Psychiatric Technician
(Licence: CA  PT 38250)
Enumeration Date2015-11-16
Last Update Date2015-11-16
Business Address
-- MY PHAN
1414 N CALIFORNIA ST
STOCKTON, CA 95202-1515
Phone number: 209-468-2385
Mailing Address
-- MY PHAN
1414 N CALIFORNIA ST
STOCKTON, CA 95202-1515
Phone number:
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