Provider Demographics
NPI:1740046465
Name:WRIGHTSTONE, RIN ALEXANDER
Entity type:Individual
Prefix:
First Name:RIN
Middle Name:ALEXANDER
Last Name:WRIGHTSTONE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:RIN
Other - Middle Name:ALEXANDER
Other - Last Name:WRIGHTSTONE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2291 W MARCH LN
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95207-6652
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:563 SONORA AVE
Practice Address - Street 2:
Practice Address - City:LODI
Practice Address - State:CA
Practice Address - Zip Code:95240-0611
Practice Address - Country:US
Practice Address - Phone:209-747-9466
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-21
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician