Jesse Rios Abundez
Licensed Psychiatric Technician in Stockton, CA. Individual provider (NPI-1).
NPI number1841413036
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1841413036
- Entity type
- Individual (NPI-1)
- Name
- Jesse Rios Abundez
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 10, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 167G00000X | Licensed Psychiatric Technician | PT29162 | CA | Yes |
Practice location
1212 N California StStockton, CA 95202-1552
Phone 209-468-8660
Mailing address
754 Cobble Hill WayGalt, CA 95632-3032
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