Individual
DANIEL LAGOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYCHIATRIC TECHNICI
Contact information
Practice address
8736 EL VERANO AVE, ELVERTA, CA 95626-9591
(559) 350-2029
Mailing address
8736 EL VERANO AVE, ELVERTA, CA 95626-9591
(559) 350-2029
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
35075
CA
Other
Enumeration date
02/23/2024
Last updated
07/22/2024
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