Individual
RANDI ROWE PUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYCH TECH
Contact information
Practice address
2945 MCMILLAN AVE STE 240, SAN LUIS OBISPO, CA 93401-6771
(805) 439-4890
Mailing address
2945 MCMILLAN AVE STE 240, SAN LUIS OBISPO, CA 93401-6771
(805) 439-4890
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
41693
CA
Other
Enumeration date
10/02/2023
Last updated
01/17/2024
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