Individual
ANDREA MARIE BYRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
600 BERCUT DR, SACRAMENTO, CA 95811-0131
(916) 440-1500
Mailing address
600 BERCUT DR, SACRAMENTO, CA 95811-0131
(916) 440-1500
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
40653
CA
Other
Enumeration date
07/09/2018
Last updated
07/09/2018
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