Individual
MARIAH WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
999 W MATHEWS RD, FRENCH CAMP, CA 95231-9502
(209) 468-4384
Mailing address
4189 DALEHURST LN, TRACY, CA 95377-8326
(510) 828-7418
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
42652
CA
Other
Enumeration date
03/19/2024
Last updated
03/19/2024
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