Individual
LISA CABANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1212 N CALIFORNIA ST, STOCKTON, CA 95202-1552
(209) 468-8686
Mailing address
2215 S CALIFORNIA ST, STOCKTON, CA 95206-3238
(209) 406-7683
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
38232
CA
Other
Enumeration date
01/05/2016
Last updated
01/05/2016
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