Criselle Jane Carillo Sumampong
NPI #1073121414 in Stockton, California
Provider Information
- NPI Number
- 1073121414
- Entity Type
- Individual
- Name
- Criselle Jane Carillo Sumampong
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Psychiatric Technician
- Enumeration Date
- Jul 22, 2020
- Last Updated
- Jul 22, 2020
Practice Location
- Address
- 1212 N CALIFORNIA ST
- City
- Stockton
- State
- California
- ZIP Code
- 95202-1552
- Phone
- (209) 468-8686
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Psychiatric Technician |
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