Individual
ALPHA BARRIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1050 E FOOTHILL BLVD, SAN LUIS OBISPO, CA 93405-1860
(916) 841-7691
Mailing address
2178 JOHNSON AVE, SAN LUIS OBISPO, CA 93401-4535
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
—
—
Other
Enumeration date
12/07/2017
Last updated
12/07/2017
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