Individual
ALEJANDRO GASTELLO MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SOCIAL WORKER
Contact information
Practice address
5100 OBYRNES FERRY RD, JAMESTOWN, CA 95327-9102
(209) 984-5291
Mailing address
1814 CHAMBORD DR, STOCKTON, CA 95210-2275
(209) 689-1382
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
41032
CA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
113265
CA
Other
Enumeration date
07/26/2023
Last updated
08/14/2023
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