Individual
MR. RUBEN ECHEVERRIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1212 CALIFORNIA ST., STOCKTON, CA 95204
(209) 468-8886
Mailing address
2756 DONNER TRL, RIVERBANK, CA 95367-9583
(209) 408-3398
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT 36928
CA
Other
Enumeration date
09/29/2016
Last updated
09/29/2016
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