Individual
MICHELLE DEPRINI TARLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
101 JOSE FIGUERES AVE, SAN JOSE, CA 95116-2022
(408) 347-3101
(408) 347-3121
Mailing address
101 JOSE FIGUERES AVE, SAN JOSE, CA 95116-2022
(408) 347-3101
(408) 347-3121
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT35434
CA
Other
Enumeration date
10/07/2010
Last updated
10/07/2010
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