Individual
KYLE REEVE FERNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1340 ARNOLD DR STE 200, MARTINEZ, CA 94553-4189
(925) 370-5000
Mailing address
1340 ARNOLD DR STE 200, MARTINEZ, CA 94553-4189
(707) 977-5044
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
40385
CA
Other
Enumeration date
02/12/2025
Last updated
02/12/2025
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