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NPI 1306502091

IndividualActive

Abegirl Ebana

NPI 1306502091 · Licensed Psychiatric Technician · Stockton, CA

Provider details

NPI number: 1306502091
Entity type: Individual
Primary specialty: Licensed Psychiatric TechnicianNursing Service Providers
Sex: Female
Sole proprietor: Yes
License: 42108 (CA)

Practice location

1212 N California St

Stockton, CA 95202-1552

Phone: (209) 468-0103

More CA providers

Mailing address

1212 N California St

Stockton, CA 95202-1552

Registry dates

Enumerated: 2021-11-17
Last updated: 2021-11-17

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

Abegirl Ebana — NPI 1306502091, Stockton, CA | NPI Central