Individual
LEVI LUCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6501 COYLE AVE, CARMICHAEL, CA 95608-0306
(916) 962-8783
Mailing address
6501 COYLE AVE, CARMICHAEL, CA 95608-0306
(916) 962-8763
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
—
—
Other
Enumeration date
06/06/2019
Last updated
06/06/2019
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