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Individual

MICHAEL E NEVIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
6550 MORRO RD, UNIT D, ATASCADERO, CA 93422
(805) 461-5212
Mailing address
7246 REMMET AVE, CANOGA PARK, CA 91303-1531
(818) 206-0360

Taxonomy

Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT31990
CA

Other

Enumeration date
07/08/2019
Last updated
07/08/2019
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