Individual
BROOKE ANNETTE DENHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4441 E KINGS CANYON RD, FRESNO, CA 93702-3604
(559) 600-9180
Mailing address
1567 GETTYSBURG AVE, CLOVIS, CA 93611-4507
(805) 602-7910
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
37382
CA
Other
Enumeration date
07/01/2020
Last updated
07/16/2020
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