TABATHA BUTTRAM

STOCKTON, CA
NPI1922439751
Former NameTABATHA LOPEZ
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy167G00000X Licensed Psychiatric Technician
(Licence: CA  35470)
Enumeration Date2013-12-04
Last Update Date2019-09-26
Business Address
TABATHA BUTTRAM
1414 N CALIFORNIA ST
STOCKTON, CA 95202-1515
Phone number: 209-468-2385
Mailing Address
TABATHA BUTTRAM
1414 N CALIFORNIA ST
STOCKTON, CA 95202-1515
Phone number: 209-468-2385