Individual
IBRAHIM KEITA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LVN/LPT
Contact information
Practice address
2148 SLATER ST, SANTA ROSA, CA 95404-2428
(707) 694-9005
Mailing address
2148 SLATER ST, SANTA ROSA, CA 95404-2428
(707) 694-9005
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT28951
CA
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us