Individual
RASCEL DATUIN-INTIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
33937
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1326124579
ARF
—
Enumeration date
05/01/2008
Last updated
05/01/2008
Update your record
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