SearchCaliforniaCase Manager/Care Coordinator

Ryan Tennis

NPI 1063052645 · on the registry since 2020 · sole proprietor

Practice

Address
1212 N California St
Stockton, CA 95202
Phone
(209) 639-9047
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
844

Registry record

Primary taxonomy
Case Manager/Care Coordinator
171M00000X
Sex
Male
Record last updated
2020-01-10
Status
Not present in the most recent federal file

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