Individual
MS. KRISTEN NICOLE DAVEIGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1225 M ST, CORRECTIONAL HEALTH, 2ND FLOOR, FRESNO, CA 93721-1805
(559) 442-2404
(559) 442-5277
Mailing address
PO BOX 11867, CORRECTIONAL HEALTH, FRESNO, CA 93775-1867
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
36212
CA
Other
Enumeration date
03/23/2012
Last updated
03/23/2012
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