Individual
WENDY TUTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
720 WOOD ST, EUREKA, CA 95501-4413
(707) 268-2945
Mailing address
2351 AUSTIN ST, EUREKA, CA 95503-7101
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT019543
CA
Other
Enumeration date
02/23/2007
Last updated
07/08/2007
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