Individual
RYAN HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1235 E ST, FRESNO, CA 93706-2024
(559) 268-6261
(559) 268-7518
Mailing address
1235 E ST, FRESNO, CA 93706-2024
(559) 268-6261
(559) 268-7518
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT34122
CA
Other
Enumeration date
11/04/2015
Last updated
04/23/2020
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