Individual
LEE SULKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
4444 CALLE REAL, SANTA BARBARA, CA 93110-1002
(805) 681-5190
Mailing address
7298 BUTTE DR, GOLETA, CA 93117-1337
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT20147
CA
Other
Enumeration date
12/08/2006
Last updated
07/08/2007
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