JERRY LOUISE TAIT

STOCKTON, CA
NPI1568584548
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy167G00000X Licensed Psychiatric Technician
(Licence: CA  pt14939)
Enumeration Date2007-04-03
Last Update Date2007-07-08
Business Address
-- JERRY LOUISE TAIT
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-8660
Mailing Address
-- JERRY LOUISE TAIT
1112 ENVIEW CT
STOCKTON, CA 95210-2161
Phone number:
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