Individual
MR. OMAR TEJADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2640 BRESLAUER WAY, REDDING, CA 96001-4246
(530) 225-5252
Mailing address
2640 BRESLAUER WAY, REDDING, CA 96001-4246
(530) 710-5838
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/26/2019
Last updated
11/26/2019
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