Individual
SAUNDRA KAYE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYCHIATRIC TECHNICI
Contact information
Practice address
405 W 5TH ST, STE 550, SANTA ANA, CA 92701-4519
(714) 834-4707
Mailing address
3115 RED HILL AVE, COSTA MESA, CA 92626-4517
(714) 517-6353
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT 21240
CA
Other
Enumeration date
09/02/2006
Last updated
07/08/2007
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