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Individual

MARTIN GARCIA REGALADO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPT

Contact information

Practice address
18 COUNTY CENTER DRIVE, OROVILLE, CA 95965
(530) 538-7705
(530) 538-2161
Mailing address
18 COUNTY CENTER DRIVE, OROVILLE, CA 95965
(530) 538-7705

Taxonomy

Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT26590
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PT26590
PSYCH TECH LICENSE
CA
Enumeration date
12/06/2006
Last updated
07/08/2007
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