Individual
ABIGAIL EQUINOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
87 W MARCH LN STE 6, STOCKTON, CA 95207-5731
(209) 522-9206
Mailing address
3921 FORT DONELSON DR, STOCKTON, CA 95219-3214
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/27/2020
Last updated
03/27/2020
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