Individual
MRS. THERESA MAUREEN AMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
1700 S EL DORADO ST, STOCKTON, CA 95206-2000
(209) 460-0429
(209) 460-0428
Mailing address
2178 JOHNSON AVE., SAN LUIS OBISBO, CA 93401
(805) 781-4711
(209) 460-0428
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
—
—
Other
Enumeration date
04/09/2008
Last updated
09/25/2014
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