Tait, Jerry Louise

Tait, Jerry Louise is an individual 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. Tait, Jerry Louise can be contacted via phone (209) 468-8660.

Contact Information

Primary practice address
1212 N California St Stockton CA 95202-1552
Phone: (209) 468-8660
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Psychiatric Technician 167G00000X PT14939 California

Profile Details

NPI number 1568584548
LBN Legal business name Tait, Jerry Louise
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 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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