Individual
GABRIEL HOLGUIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, PT
Contact information
Practice address
1212 N CALIFORNIA ST, STOCKTON, CA 95202-1552
(209) 468-8880
Mailing address
1212 N CALIFORNIA ST, STOCKTON, CA 95202-1552
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95298217
CA
167G00000X
Licensed Psychiatric Technician
PT 38216
CA
Other
Enumeration date
11/02/2015
Last updated
09/20/2022
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