Individual
LYNNE FERDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
450 S PORTER RD STE D, DIXON, CA 95620-3358
(707) 640-0722
(707) 640-1922
Mailing address
PO BOX 339, DIXON, CA 95620-0339
(707) 640-0722
(707) 640-1922
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/18/2022
Last updated
04/18/2022
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