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Individual

MANUEL MONTOYA TAJON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSYD

Contact information

Practice address
2615 S MILLER ST, SANTA MARIA, CA 93455-1775
(805) 319-7505
Mailing address
4226 WOODMERE RD, SANTA MARIA, CA 93455-3862
(805) 218-8165

Taxonomy

Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary

Other

Enumeration date
06/15/2007
Last updated
01/20/2017
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