Individual
FRANK OTHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
416 E OCEAN AVE, LOMPOC, CA 93436-6829
(805) 849-2318
Mailing address
115 E FESLER ST, SANTA MARIA, CA 93454-4404
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
34825
CA
Other
Enumeration date
11/11/2024
Last updated
11/11/2024
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