Individual
TAYLOR BARNETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
768 PLEASANT VALLEY RD STE 201, DIAMOND SPRINGS, CA 95619-9260
(530) 621-6290
Mailing address
768 PLEASANT VALLEY RD STE 201, DIAMOND SPRINGS, CA 95619-9260
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
40088
CA
Other
Enumeration date
10/28/2016
Last updated
10/28/2016
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