Madave, Agnes Helen
Madave, Agnes Helen is an sole proprietor health care provider with primary practice located at 1212 N California St , Stockton CA 95202-1552. She recently has only one registered license in Nursing Service Providers / Licensed Psychiatric Technician, which is considered as her primary health care specialty. Madave, Agnes Helen can be contacted via phone (209) 468-8880.Contact Information
Primary practice address
1212 N California St
Stockton CA 95202-1552
Phone: (209) 468-8880
Fax: (209) 468-3516
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Licensed Psychiatric Technician | 167G00000X | PT28610 | California |
Profile Details
| NPI number | 1104948595 |
|---|---|
| LBN Legal business name | Madave, Agnes Helen |
| Credentials | PSYCH TECH |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 4th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
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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