Individual
REGINALD JOSEPH THIGPEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7240 E SOUTHGATE DR, SACRAMENTO, CA 95823-2627
(916) 391-4293
Mailing address
PO BOX 41795, SACRAMENTO, CA 95841-0795
(707) 673-6499
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
40026
CA
Other
Enumeration date
02/08/2023
Last updated
02/08/2023
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