Individual
SHERONYA HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1212 N CALIFORNIA, STOCKTON, CA 95202
(209) 468-8686
Mailing address
1212 N CALIRORNIA, STOCKTON, CA 95202
(209) 468-8686
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
37605
CA
Other
Enumeration date
05/11/2015
Last updated
10/06/2023
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