Marisol Granados Villagran
NPI #1053038711 in Stockton, California
Provider Information
- NPI Number
- 1053038711
- Entity Type
- Individual
- Name
- Marisol Granados Villagran
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Psychiatric Technician
- Enumeration Date
- Oct 24, 2022
- Last Updated
- Sep 19, 2023
Practice Location
- Address
- 4545 GEORGETOWN PL STE D
- City
- Stockton
- State
- California
- ZIP Code
- 95207-6229
- Phone
- (209) 269-5587
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Psychiatric Technician |
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