Individual
SONIA HUEZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 ILENE ST, MARTINEZ, CA 94553-2631
(925) 313-7980
(925) 646-2060
Mailing address
300 ILENE ST, MARTINEZ, CA 94553-2631
(925) 313-7980
(925) 646-2060
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT40039
CA
Other
Enumeration date
02/22/2018
Last updated
02/22/2018
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