Individual
JOAN EVONNE TRABUCCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYCH TECH
Contact information
Practice address
2060 CAMPUS DR, YREKA, CA 96097-9538
(530) 841-4745
Mailing address
2060 CAMPUS DR, YREKA, CA 96097-9538
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
30738
CA
Other
Enumeration date
06/21/2017
Last updated
06/21/2017
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