Individual
LAVINDER BAGDWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2975 MCMILLAN AVE STE 164, SAN LUIS OBISPO, CA 93401-6768
(805) 439-4890
Mailing address
2975 MCMILLAN AVE STE 164, SAN LUIS OBISPO, CA 93401-6768
(805) 439-4890
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
34030
CA
Other
Enumeration date
04/05/2024
Last updated
04/05/2024
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