Individual
MS. DARLA LYN JEREMIAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
88 TABLE MOUNTAIN BLVD, OROVILLE, CA 95965-3578
(530) 538-2158
Mailing address
88 TABLE MOUNTAIN BLVD, OROVILLE, CA 95965-3578
(530) 538-2158
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
35897
CA
Other
Enumeration date
07/11/2011
Last updated
07/11/2011
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