Individual
CARLOS BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPT
Contact information
Practice address
201 N K ST, TULARE, CA 93274-4005
(559) 687-8713
Mailing address
201 N K ST, TULARE, CA 93274-4005
(559) 687-8713
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
40477
CA
Other
Enumeration date
05/25/2023
Last updated
10/08/2024
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