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Individual

MICHAEL ANGELO MONTANTES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1212 N CALIFORNIA ST, STOCKTON, CA 95202-1552
(209) 468-8667
Mailing address
8709 GLENBRIAR DR, STOCKTON, CA 95209-2008
(209) 762-7644

Taxonomy

Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
37071
CA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
08/30/2013
Last updated
03/26/2024
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