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Individual

NORMITA RAQUEL VELASQUEZ ROSALES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT41847

Contact information

Practice address
1947 N CALIFORNIA ST STE BANDC, STOCKTON, CA 95204-6029
(209) 463-0870
Mailing address
6119 DANNY DR UNIT 16, STOCKTON, CA 95210-5324
(408) 207-3025

Taxonomy

Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT41847
CA

Other

Enumeration date
01/10/2021
Last updated
12/12/2023
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