KRYSTAL STAR DIXON

STOCKTON, CA
NPI1629595137
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy167G00000X Licensed Psychiatric Technician
(Licence: CA  PT37482)
Enumeration Date2017-08-25
Last Update Date2017-08-25
Business Address
Miss KRYSTAL STAR DIXON LPT
1414 N CALIFORNIA ST
STOCKTON, CA 95202-1515
Phone number: 209-468-4202
Mailing Address
Miss KRYSTAL STAR DIXON LPT
1414 N CALIFORNIA ST
STOCKTON, CA 95202-1515
Phone number: 209-468-4240