Individual
MS. FRANCES SARANDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LIC PSYCH TECH
Contact information
Practice address
250 BONAIR RD, PES, GREENBRAE, CA 94904
(415) 499-6830
(415) 507-2672
Mailing address
237 PICNIC AVE #28, SAN RAFAEL, CA 94901
(415) 455-8636
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT22691
CA
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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