Individual
DEMILYNN MONIC MORA GRUESO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2751 NAPA VALLEY CORPORATE DR BLDG B, NAPA, CA 94558-6216
(707) 227-3900
Mailing address
2751 NAPA VALLEY CORPORATE DR BLDG B, NAPA, CA 94558-6216
(707) 227-3900
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
35910
CA
Other
Enumeration date
10/03/2023
Last updated
10/03/2023
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