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Individual

JANICE LEE RODNEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSYCH TECH

Contact information

Practice address
1212 N CALIFORNIA ST, CATS-D, STOCKTON, CA 95202-1552
(209) 468-8890
(209) 468-3516
Mailing address
1212 N CALIFORNIA ST, CATS-D, STOCKTON, CA 95202-1552
(209) 468-8890
(209) 468-3516

Taxonomy

Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT24209
CA

Other

Enumeration date
04/06/2007
Last updated
07/08/2007
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