Individual
ANITA DELOS REYES SALANGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2225 CHALLENGER WAY, SANTA ROSA, CA 95407-5441
(707) 565-4101
Mailing address
2525 FLOSDEN RD SPC 203, AMERICAN CANYON, CA 94503-3064
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
—
—
Other
Enumeration date
07/06/2022
Last updated
07/06/2022
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