Individual
BAT A CHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2550 W CLINTON AVE BLDG W, FRESNO, CA 93705-4206
(559) 400-1708
Mailing address
5054 W HARVARD AVE, FRESNO, CA 93722-0443
(559) 400-1708
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
40223
CA
Other
Enumeration date
05/14/2021
Last updated
09/23/2021
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