Individual
ALBERTO ELIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1212 N CALIFORNIA ST, STOCKTON, CA 95202-1552
(209) 468-8786
Mailing address
1212 N CALIFORNIA ST, STOCKTON, CA 95202-1552
(209) 468-8786
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95338445
CA
167G00000X
Licensed Psychiatric Technician
40634
CA
Other
Enumeration date
04/16/2018
Last updated
10/12/2023
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