Individual
JACQUELINE P ROJAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.T
Contact information
Practice address
6500 S MOONEY BLVD, SUITE B, VISALIA, CA 93277-9535
(559) 594-4969
Mailing address
6500 S MOONEY BLVD UNIT B, VISALIA, CA 93277-9535
(559) 685-1200
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT 29364
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT 29364
LPT
CA
Enumeration date
02/20/2007
Last updated
12/21/2010
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