Individual
KRISTY HEWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
1133 COLOMA WAY STE C, ROSEVILLE, CA 95661
(916) 774-6647
Mailing address
7246 REMMET AVE, CANOGA PARK, CA 91303-1531
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT36166
CA
Other
Enumeration date
05/28/2013
Last updated
12/28/2018
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