Individual
ANTOINETTE SORRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6501 COYLE AVE, CARMICHAEL, CA 95608-0394
(916) 537-5365
Mailing address
6501 COYLE AVE, CARMICHAEL, CA 95608-0394
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
41768
CA
Other
Enumeration date
07/01/2025
Last updated
07/01/2025
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