Individual
SEAN KENNETH WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4612 ROOSEVELT AVE, SACRAMENTO, CA 95820-4520
(916) 457-3129
Mailing address
18225 HALE AVE, MORGAN HILL, CA 95037-3547
(408) 465-8280
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
38292
CA
Other
Enumeration date
06/06/2017
Last updated
06/06/2017
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