Individual
MRS. HEIDI SARMENTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1585 KANSAS AVE., SAN LUIS OBISPO, CA 93401
(805) 784-4614
Mailing address
1303 STONEY CREEK RD, PASO ROBLES, CA 93446-5185
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT31132
CA
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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