Individual
MARIANNE ALEATHA MAGATHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 SCENIC DR, MODESTO, CA 95350-6131
(209) 525-6146
(209) 558-4319
Mailing address
800 SCENIC DR, MODESTO, CA 95350-6131
(209) 525-6146
(209) 558-4319
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
—
CA
Other
Enumeration date
10/10/2018
Last updated
10/10/2018
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