Individual
DR. DANIEL SUAVENGCO LUMBRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
207 E ST UNIT B, DAVIS, CA 95616-4523
(530) 206-9996
Mailing address
1790 ELLIS ST APT 11, CONCORD, CA 94520-2744
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY31435
CA
Other
Enumeration date
11/06/2019
Last updated
11/06/2019
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