Individual
MRS. SIOBHAN KAY SHANAHAN-ORTEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
1206 G ST STE 102, FRESNO, CA 93706-1643
(559) 459-0334
Mailing address
1206 G ST STE 102, FRESNO, CA 93706-1643
(559) 459-0334
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
33317
CA
Other
Enumeration date
10/19/2009
Last updated
10/19/2009
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