Individual
MR. ROSELLER RAFOL LUNTAYAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPT
Contact information
Practice address
2001 THE ALAMEDA, ALLIANCE FOR COMMUNITY CARE SERVICE TEAM ADULT OUTPATIE, SAN JOSE, CA 95126-1136
(408) 261-7777
(408) 554-9960
Mailing address
2001 THE ALAMEDA, ALLIANCE FOR COMMUNITY CARE, SAN JOSE, CA 95126-1136
(408) 261-7777
(408) 254-9960
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT28077
CA
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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