Individual
VOLTAIRE MAGAOAY HORTIZUELA I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
541 SUTHERLAND DR, STOCKTON, CA 95210-4468
(209) 518-8505
Mailing address
541 SUTHERLAND DR, STOCKTON, CA 95210-4468
(209) 518-8505
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
41757
CA
Other
Enumeration date
11/25/2021
Last updated
11/25/2021
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