Granados Villagran, Marisol

Granados Villagran, Marisol is an individual health care provider with primary practice located at 4545 Georgetown Pl Ste D , Stockton CA 95207-6229. She recently has only one registered license in Nursing Service Providers / Licensed Psychiatric Technician, which is considered as her primary health care specialty. Granados Villagran, Marisol can be contacted via phone (209) 269-5587.

Contact Information

Primary practice address
4545 Georgetown Pl Ste D Stockton CA 95207-6229
Phone: (209) 269-5587
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Psychiatric Technician 167G00000X

Profile Details

NPI number 1053038711
LBN Legal business name Granados Villagran, Marisol
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2022
Last updated Sep 19th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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