Individual
TAMBA MAURICE MCCARTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYCH TECH
Contact information
Practice address
935 SPRING ST # B, PLACERVILLE, CA 95667-4543
(530) 621-6213
Mailing address
9236 TROUT WAY, ELK GROVE, CA 95624-4900
(408) 420-9517
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
—
—
Other
Enumeration date
10/19/2022
Last updated
10/19/2022
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