Individual
ANN-VALERIE PLAZA FOJAS-GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
1212 N CALIFORNIA ST, STOCKTON, CA 95202-1552
(209) 468-8660
Mailing address
5628 WESTCHESTER CIR, STOCKTON, CA 95219-7169
(209) 951-0747
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
RN 704233
CA
167G00000X
Licensed Psychiatric Technician
PT27085
CA
Other
Enumeration date
04/09/2007
Last updated
01/20/2012
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