KIMBERLY LATOYA GANNER

STOCKTON, CA
NPI1902168412
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy167G00000X Licensed Psychiatric Technician
(Licence: CA  36498)
Enumeration Date2012-06-11
Last Update Date2012-06-11
Business Address
-- KIMBERLY LATOYA GANNER
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-8700
Mailing Address
-- KIMBERLY LATOYA GANNER
3222 JONATHEN ST
STOCKTON, CA 95206-5916
Phone number: 209-817-7301