Individual
MRS. SAMANTHA JANE JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
4612 ROOSEVELT AVE, SACRAMENTO, CA 95820-4520
(916) 379-5876
Mailing address
18225 HALE AVE, MORGAN HILL, CA 95037-3547
(408) 762-7022
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
40222
CA
Other
Enumeration date
05/19/2016
Last updated
12/03/2021
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