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Agnes Madave, PSYCH TECH — NPI 1104948595, Stockton, CA | NPI Central

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NPI 1104948595

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Agnes Madave, PSYCH TECH

NPI 1104948595 · Licensed Psychiatric Technician · Stockton, CA

Provider details

NPI number: 1104948595
Entity type: Individual
Primary specialty: Licensed Psychiatric TechnicianNursing Service Providers
Credential: PSYCH TECH
Sex: Female
Sole proprietor: Yes
License: PT28610 (CA)

Practice location

1212 N California St

Stockton, CA 95202-1552

Phone: (209) 468-8880

Fax: (209) 468-3516

More CA providers

Mailing address

1212 N. California

Stockton, CA 95202

Registry dates

Enumerated: 2007-04-04
Last updated: 2007-07-08

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.