Individual
MR. TONY RAY WEEKLY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPT
Contact information
Practice address
1212 N CALIFORNIA ST, STOCKTON, CA 95202-1552
(408) 401-7957
Mailing address
1212 N CALIFORNIA ST, STOCKTON, CA 95202-1552
(408) 401-7957
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
41837
CA
Other
Enumeration date
03/03/2021
Last updated
03/03/2021
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