Individual
ROSALINA A CAMPOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
3467 W SHAW AVE, SUITE #101, FRESNO, CA 93711-3223
(559) 349-2238
Mailing address
1909 N WAUKENA WAY, HANFORD, CA 93230-2135
(559) 772-8352
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT31749
CA
Other
Enumeration date
06/19/2010
Last updated
06/19/2010
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