Individual
STEPHAN E MURRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
212 CARMEN LN, SANTA MARIA, CA 93458-7769
(805) 739-8706
Mailing address
212 CARMEN LN, SANTA MARIA, CA 93458-7769
(805) 739-8706
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
37175
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1952589228
CARE RESIDENTIAL NORTH
CA
Enumeration date
07/16/2010
Last updated
10/26/2023
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