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Raquel Petty

NPI 1053174102 · on the registry since 2024

Practice

Address: 1212 N California St
Stockton, CA 95202
Phone: (209) 468-8842
Organisation at this address: Sasha Jackson, Llc
County Of San Joaquin
Larisa Kouperschmidt Md Llc
Bhs Children And Youth Serv
San Joaquin County Mental Health
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 840

Registry record

Primary taxonomy: Community Health Worker
172V00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2024-02-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California