Individual
BRYAN DAVID TAFOYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYCHIATRIC TECHNICI
Contact information
Practice address
1212 N CALIFORNIA ST, STOCKTON, CA 95202-1552
(209) 468-8700
Mailing address
1909 COTTAGE CT, STOCKTON, CA 95207-8810
(209) 774-6465
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
37425
CA
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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