Individual
MR. TIMOTHY CARIAGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2178 JOHNSON AVE, SAN LUIS OBISPO, CA 93401-4535
(805) 781-4700
Mailing address
629 WOODLAND DR, ARROYO GRANDE, CA 93420-4251
(805) 264-4387
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
36483
CA
Other
Enumeration date
02/10/2013
Last updated
07/16/2015
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