ROBERT KEN OTA

STOCKTON, CA
NPI1578786554
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy167G00000X Licensed Psychiatric Technician
(Licence: CA  33792)
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2007-04-10
Last Update Date2024-01-10
Business Address
ROBERT KEN OTA
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-8660
Mailing Address
ROBERT KEN OTA
3221 WAGNER HEIGHTS RD
STOCKTON, CA 95209-4868
Phone number: