Individual
ALFONSO R CONTRERAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPT
Contact information
Practice address
303 S C ST, LOMPOC, CA 93436-7305
(559) 942-6756
Mailing address
303 S C ST, LOMPOC, CA 93436-7305
(559) 942-6756
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
42847
CA
Other
Enumeration date
08/21/2024
Last updated
10/28/2024
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