Individual
MORAIAH JASMIN HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
8626 LOWER SACRAMENTO RD STE 41, STOCKTON, CA 95210-1835
(209) 478-2487
Mailing address
8626 LOWER SACRAMENTO RD STE 41, STOCKTON, CA 95210-1835
(209) 554-5188
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
42383
CA
Other
Enumeration date
11/21/2022
Last updated
08/08/2023
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