Individual
MRS. SHARON BENJAMIN NINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1947 N CALIFORNIA ST, STOCKTON, CA 95204-6034
(209) 463-0870
Mailing address
3055 W EUCLID AVE, STOCKTON, CA 95204-1332
(209) 406-0704
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT35960
CA
Other
Enumeration date
09/13/2011
Last updated
10/18/2025
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