Individual
DIVINA PALAFOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
1839 S EL DORADO ST, STOCKTON, CA 95206-2025
(209) 463-0872
(209) 466-4446
Mailing address
6221 VILLAGE GREEN DR, STOCKTON, CA 95210-4607
(209) 401-1134
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
—
—
Other
Enumeration date
12/21/2006
Last updated
06/22/2023
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