Individual
ODUBANKE YEWANDE MCGAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4612 ROOSEVELT AVE, SACRAMENTO, CA 95820-4520
(916) 379-5876
Mailing address
18525 SUTTER BLVD STE 200, MORGAN HILL, CA 95037-2899
(408) 465-8280
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
41707
CA
Other
Enumeration date
09/10/2018
Last updated
07/14/2020
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