MELISSA ISMELIN BAZUA

STOCKTON, CA
NPI1972944072
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy167G00000X Licensed Psychiatric Technician
(Licence: CA  36496)
Enumeration Date2013-07-17
Last Update Date2013-07-17
Business Address
Ms. MELISSA ISMELIN BAZUA LPT
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-8750
Mailing Address
Ms. MELISSA ISMELIN BAZUA LPT
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-8750