Individual
RAYMOND RAMOS BASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPT
Contact information
Practice address
982 MISSION ST, SAN FRANCISCO, CA 94103-2911
(415) 597-8082
Mailing address
982 MISSION ST, SAN FRANCISCO, CA 94103-2911
(415) 597-8002
(415) 597-8004
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT28906
LPT
CA
Enumeration date
03/30/2010
Last updated
08/26/2015
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