Individual
SHAWNA LYNN HOLGUIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1212 N CALIFORNIA ST, STOCKTON, CA 95202-1552
(209) 468-8842
Mailing address
1212 N CALIFORNIA ST, STOCKTON, CA 95202-1552
(209) 468-8842
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
1606131
CA
167G00000X
Licensed Psychiatric Technician
40252
CA
Other
Enumeration date
11/29/2016
Last updated
04/12/2023
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