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MR. JASON SALVADOR ROSALES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LICENSED PSYCH TECH

Contact information

Practice address
1212 N CALIFORNIA ST, STOCKTON, CA 95202-1552
(209) 468-3760
(209) 468-3779
Mailing address
1233 SHADOW CREEK DR, STOCKTON, CA 95209-1426
(209) 468-3760
(209) 468-3779

Taxonomy

Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT29038
CA

Other

Enumeration date
03/30/2007
Last updated
07/08/2007
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