Individual
MS. HULDAH SUSAN CHUENYANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT25719
Contact information
Practice address
1901 CLEVELAND AVE, SUITE B, SANTA ROSA, CA 95401-4282
(707) 576-0818
(707) 576-7845
Mailing address
1901 CLEVELAND AVE, SUITE B, SANTA ROSA, CA 95401-4282
(707) 576-0818
(707) 576-7845
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT25719
CA
Other
Enumeration date
01/12/2010
Last updated
01/12/2010
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