Individual
MEGAN ANNA SUNDBLAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1860 WALNUT ST, RED BLUFF, CA 96080-3611
(209) 728-5956
Mailing address
20200 LIVE OAK RD, RED BLUFF, CA 96080
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
—
CA
Other
Enumeration date
10/14/2018
Last updated
01/26/2021
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