Individual
JAY S YBANEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPT
Contact information
Practice address
300 E 15TH ST, MERCED, CA 95341-6217
(209) 381-6819
Mailing address
300 E 15TH ST, MERCED, CA 95341-6217
(209) 381-6819
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT32301
CA
Other
Enumeration date
12/20/2012
Last updated
08/12/2015
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