Individual
RICHELLE ROSE AGUIRRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
212 CARMEN LN STE 201, SANTA MARIA, CA 93458-7771
(805) 212-7680
Mailing address
212 CARMEN LN STE 201, SANTA MARIA, CA 93458-7771
(805) 212-7680
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245897354
CARMEN LANE
CA
Enumeration date
08/17/2020
Last updated
08/17/2020
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