Individual
JANINA LANDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2180 JOHNSON AVE, SAN LUIS OBISPO, CA 93401-4558
(805) 461-6048
Mailing address
2180 JOHNSON AVE, SAN LUIS OBISPO, CA 93401-4558
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT35073
CA
Other
Enumeration date
12/22/2021
Last updated
12/22/2021
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