Provider Demographics
NPI:1821319583
Name:BAPTIST, ZINA ANTRANETTE
Entity Type:Individual
Prefix:MRS
First Name:ZINA
Middle Name:ANTRANETTE
Last Name:BAPTIST
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:640 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95202-3029
Mailing Address - Country:US
Mailing Address - Phone:209-594-3393
Mailing Address - Fax:
Practice Address - Street 1:640 E MAIN ST
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95202-3029
Practice Address - Country:US
Practice Address - Phone:209-594-3393
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-17
Last Update Date:2010-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor