Criselle Jane Carillo Sumampong
Criselle Jane Carillo Sumampong is a Licensed Psychiatric Technician in Stockton, California. Licensed in California. Registered with an NPI since 2020.
- Licensed in
- CA
- In the registry since
- 2020
Practice location Address checks out
1212 N California StStockton, CA 95202-1552
Phone: (209) 468-8686
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Specialties & licences
| Licensed Psychiatric Technician (primary) | Taxonomy 167G00000X · Licence 41696 (CA) |
|---|
Record details
| NPI number | 1073121414 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 22, 2020 |
| Last updated in NPPES | July 22, 2020 |
| Certification date | July 22, 2020 |
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