Individual
MS. TEODORA A GOLTIAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYCH TECHNICIAN
Contact information
Practice address
438 N WHITE RD, ALLIANCE FOR COMMUNITY CARE SERVICE TEAM ADULT OUTPATI, SAN JOSE, CA 95127-1439
(408) 254-6828
(408) 254-6838
Mailing address
2001 THE ALAMEDA, ALLIANCE FOR COMMUNITY CARE, SAN JOSE, CA 95126-1136
(408) 261-7777
(408) 254-9960
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT27607
CA
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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